Proceedings of Consensus Conference on Simultaneous Liver Kidney Transplantation (SLK)
TLDR
The consensus was that Regional Review Boards (RRB) should determine listing for SLK, as with other MELD exceptions, with automatic approval for: End‐stage renal disease with cirrhosis and symptomatic portal hypertension or hepatic vein wedge pressure gradient ≥ 10 mm Hg.About:
This article is published in American Journal of Transplantation.The article was published on 2008-11-01 and is currently open access. It has received 324 citations till now. The article focuses on the topics: Liver transplantation & Transplantation.read more
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Evaluation for liver transplantation in adults: 2013 practice guideline by the American Association for the Study of Liver Diseases and the American Society of Transplantation
TL;DR: The purpose of the current Guidelines is to provide an evidence-based set of recommendations for the evaluation of adult patients who are potentially candidates for LT, and they are intended to be flexible, in contrast to standards of care, which are inflexible policies to be followed in every case.
Journal ArticleDOI
Renal Failure in Cirrhosis
Pere Ginès,Robert W. Schrier +1 more
TL;DR: This review discusses recently identified information about renal failure in cirrhosis and clinical interventions that may assist in the prevention and management of this complication.
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Introduction to the revised American Association for the Study of Liver Diseases Practice Guideline management of adult patients with ascites due to cirrhosis 2012
TL;DR: This version of the American Association for the Study of Liver Diseases Practice Guideline is the fourth iteration of this guideline and represents a thorough update of the 2009 version.
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EASL Clinical Practice Guidelines: Liver transplantation
Patrizia Burra,Andrew K. Burroughs,Ivo Graziadei,Jacques Pirenne,Juan Carlos Garcia Valdecasas,Paolo Muiesan,Didier Samuel,Xavier Forns +7 more
TL;DR: This Clinical Practice Guideline has been developed to assist physicians and other healthcare providers during the evaluation process of candidates for LT and to help them in the correct management of patients after LT.
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KDIGO Clinical Practice Guideline on the evaluation and management of candidates for kidney transplantation
Steven J. Chadban,Curie Ahn,David A. Axelrod,Bethany J. Foster,Bertram L. Kasiske,Vijah Kher,Deepali Kumar,Rainer Oberbauer,Julio Pascual,Helen Pilmore,James R. Rodrigue,Dorry L. Segev,Neil S. Sheerin,Kathryn Tinckam,Germaine Wong,Gregory A. Knoll +15 more
TL;DR: The goal is to assist the clinical team to assimilate all data relevant to an individual, consider this within their local health context, and make an overall judgment on candidacy for transplantation.
References
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Journal Article
K/DOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification, and stratification
Andrew S. Levey,Josef Coresh,Kline Bolton,Bruce Culleton,Kathy Schiro Harvey,T. Alp Ikizler,Cynda Ann Johnson,Annamaria T. Kausz,Paul L. Kimmel,John W. Kusek,Adeera Levin,Kenneth L. Minaker,Robert Nelson,Helmut G. Rennke,Michael Steffes,Beth Witten,Ronald J. Hogg,Susan Furth,Kevin V. Lemley,Ronald J. Portman,George Schwartz,Joseph Lau,Ethan M Balk,Ronald D. Perrone,Tauqeer Karim,Lara Rayan,Inas Al-Massry,Priscilla Chew,Brad C. Astor,Deirdre De Vine,Garabed Eknoyan,Nathan W. Levin,Sally Burrows-Hudson,William F. Keane,Alan S. Kliger,Derrick Latos,Donna Mapes,Edith Oberley,Kerry Willis,George R. Bailie,Gavin J. Becker,Jerrilynn Burrowes,David Churchill,Allan J. Collins,William Couser,Dick DeZeeuw,Alan Garber,Thomas Golper,Frank A. Gotch,Antonio M. Gotto,Joel W. Greer,Richard H. Grimm,Ramon G. Hannah,Jaime Herrera Acosta,Ronald J. Hogg,Lawrence G. Hunsicker,Michael J. Klag,Saulo Klahr,Caya Lewis,Edmund G. Lowrie,Arthur J. Matas,Sally McCulloch,Maureen Michael,Joseph V. Nally,John M. Newmann,Allen R. Nissenson,Keith Norris,William F. Owen,Thakor G. Patel,Glenda Payne,Rosa A. Rivera-Mizzoni,David A. Smith,Robert A. Star,Theodore Steinman,Fernando Valderrábano,John Walls,Jean Pierre Wauters,Nanette Wenger,Josephine P. Briggs +78 more
TL;DR: In the early 1990s, the National Kidney Foundation (K/DOQI) developed a set of clinical practice guidelines to define chronic kidney disease and to classify stages in the progression of kidney disease.
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Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group.
TL;DR: A 2-day consensus conference on acute renal failure (ARF) in critically ill patients was organized by ADQI as discussed by the authors, where the authors sought to review the available evidence, make recommendations and delineate key questions for future studies.
Journal ArticleDOI
National kidney foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification
Andrew S. Levey,Josef Coresh,Ethan M Balk,Annamaria T. Kausz,Adeera Levin,Michael W. Steffes,Ronald J. Hogg,Ronald D. Perrone,Joseph Lau,Garabed Eknoyan +9 more
TL;DR: The goal is to disseminate the simple definition and five-stage classification system of Chronic kidney disease, to summarize the major recommendations on early detection of chronic kidney disease in adults, and to consider some of the issues associated with these recommendations.
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Hepatic venous pressure gradient predicts clinical decompensation in patients with compensated cirrhosis.
Cristina Ripoll,Cristina Ripoll,Roberto J. Groszmann,Roberto J. Groszmann,Guadalupe Garcia–Tsao,Guadalupe Garcia–Tsao,Norman D. Grace,Andrew K. Burroughs,Ramon Planas,Angels Escorsell,Juan Carlos Garcia Pagan,Robert W. Makuch,David Patch,Daniel S. Matloff,Jaime Bosch +14 more
TL;DR: HVPG, MELD, and albumin independently predict clinical decompensation in patients with compensated cirrhosis and with portal hypertension as determined by the hepatic venous pressure gradient.
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Pretransplant renal function predicts survival in patients undergoing orthotopic liver transplantation.
TL;DR: The findings suggest that when Mayo End‐Stage Liver Disease (MELD) score is used to prioritize organ allocation, lower‐than‐expected graft and patient survival rates may be seen.