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Theory and Practice in Medicine, 2015, Vol. 21, No. 2.2


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PREEMPTIVE TRANSPLANTATION AS A FIRST LINE TREATMENT FOR END STAGE CHRONIC KIDNEY DISEASE

Severija Daugirdaitė, Laurynas Rimševičius, Marius Miglinas


Correspondence Address: laurynas.rimsevicius@santa.lt

Key words: chronic kidney disease, preemptive kidney transplantation.
Preemptive kidney transplantation is defined as a transplantation, performed to chronic kidney disease patients prior to longterm dialysis. This option allows to protect patients from dialysis-related complications. It also increases both the recipient and allograft survival compared with transplantations, performed after long-term dialysis. This is a cost effective method which outlays economy benefit avoiding expensive dialysis, reducing hospitalizations for complications of dailysis. A greater proportion of able-bodied patients return to the labor market after the transplantation nopt losing income and posessing a better quality of life. Despite the advantages, the method is still not widely used. The main obstacles are: a shortage of donors,
especially living-related, poor patient awareness of their disease treatment options, uncertain appropriate transplantation timing. Preemptive kidney transplantation is considered the best treatment for patients with end stage chronic kidney disease, but it is recommended to consider preemptive transplantation before the final stage, in order to ensure sufficient time for testing the donor and recipient. Overcoming obstacles includes: the promotion of donation, emphasizing the importance of living donors, properly informing patients about their treatment options and clarifying the benefits of preemptive transplant, determening proper time. That would allow to make preemptive kidney trasnplantation widely used as a first treatment choice fighting against chronic kidney disease.



DOI: 10.15591/mtp.2015.038
Submited: January 15, 2015
Accepted: February 26, 2015
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