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Protecting the Kidney in Liver Transplant Candidates: Practice‐Based Recommendations From the American Society of Transplantation Liver and Intestine Community of Practice
Author(s) -
O'Leary J. G.,
Levitsky J.,
Wong F.,
Nadim M. K.,
Charlton M.,
Kim W. R.
Publication year - 2016
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.13790
Subject(s) - medicine , intensive care medicine , liver transplantation , kidney disease , liver disease , transplantation , perioperative , kidney transplantation , kidney , renal function , epidemiology , surgery
Acute kidney injury ( AKI ) and chronic kidney disease ( CKD ) are common in patients awaiting liver transplantation, and both have a marked impact on the perioperative and long‐term morbidity and mortality of liver transplant recipients. Consequently, we reviewed the epidemiology of AKI and CKD in patients with end‐stage liver disease, highlighted strategies to prevent and manage AKI , evaluated the changing liver transplant waiting list's impact on kidney function, delineated important considerations in simultaneous liver–kidney transplant selection, and projected possible future transplant policy changes and outcomes. This review was assembled by experts in the field and endorsed by the American Society of Transplantation Liver and Intestinal Community of Practice and Board of Directors and provides practice‐based recommendations for preservation of kidney function in patients with end‐stage liver disease.