Managing Patients with Failing Kidney Allograft: Many Questions Remain.

ABSTRACT: Patients who receive a kidney transplant commonly experience failure of their allograft. Transplant failure often comes with complex management decisions, such as when and how to wean immunosuppression and start the transition to a second transplant or to dialysis. These decisions are made in the context of important concerns about competing risks, including sensitization and infection. Unfortunately, the management of the failed allograft is, at present, guided by relatively poor-quality data and, as a result, practice patterns are variable and suboptimal given that patients with failed allografts experience excess morbidity and mortality compared with their transplant-naive counterparts. In this review, we summarize the management strategies through the often-precarious transition from t

SUBMITTER: Davis S 

PROVIDER: S-EPMC8975040 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature