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  Title Defining high risk in adult kidney transplantation Type Journal Article
  Year 2009 Publication Progress in Transplantation (Aliso Viejo, Calif.) Abbreviated Journal Prog Transplant  
  Volume 19 Issue 3 Pages 252-258  
  Keywords Adult; Algorithms; Benchmarking/organization & administration; Blood Grouping and Crossmatching; Decision Trees; Donor Selection; Graft Rejection/*etiology/prevention & control; Graft Survival; Health Status; Humans; Kidney Transplantation/*adverse effects/immunology/psychology; Mental Health; Patient Care Team/*organization & administration; *Patient Selection; Risk Assessment/*organization & administration; Risk Factors; Risk Reduction Behavior; Tissue and Organ Procurement/*organization & administration; Treatment Outcome  
  Abstract BACKGROUND: Because identifiable factors contribute to allograft loss, and because no consensus has been reached on the definition of high risk, an interdisciplinary group of nurses, physicians, pharmacists, and social workers was convened in May 2008. OBJECTIVE: Participants sought to reach consensus about the current state of science and best practices related to the definition and management of high-risk kidney transplant recipients. METHODS: An expert facilitator with extensive experience in leading consensus teams guided consensus-building activities, which included discussion and small-group work. RESULTS: This consensus group conceptualized the definition of the “high-risk” kidney transplant recipient and provided information to guide the multidisciplinary team in their assessment of these patients before and after transplant. Three key areas, which were conceptualized as independent scales, had a substantial impact on outcomes: (1) transplant recipient medical factors, (2) donor and recipient immunological factors, and (3) transplant recipient psychosocial factors. Though depicted separately, alteration of a specific risk on one scale could influence some risk factors on another scale. In addition, the kidney allograft itself must be considered in the assessment of high risk. CONCLUSIONS: The continuum of risk described here should be useful to transplant clinicians in their assessment of high-risk adult kidney transplant patients, may aid centers in developing a more complete definition of high risk, and may lead to risk-reduction efforts.  
  Address  
  Corporate Author High Risk Renal Transplant Consensus Group Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1526-9248 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:19813488 Approved no  
  Call Number refbase @ user @ Serial 7646  
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