Core IM | Internal Medicine Podcast #122 Kidney Transplant Preparation: 5 Pearls Segment
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Mar 29, 2023 AI Snips
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Early Transplant Referral
- Refer patients for kidney transplant evaluation before their GFR drops to 20.
- It takes 3-6 months for the evaluation process, ideally completed before they need dialysis.
GFR and Transplant Listing
- Patients can be actively listed for a transplant when their GFR is 20 or less.
- A GFR below 20 starts "cooling time" on the waiting list, but not all patients at that level are immediately ready for transplant.
AKI and Transplant Listing
- Even a single instance of AKI with a GFR below 20 can be used for listing.
- This allows patients to start accruing waiting time earlier, even if their GFR recovers.