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3D Planning Cut Post-Op Complications in Kids’ Liver Transplants

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— But little effect on graft, patient survival rates

Use of advanced preoperative 3D planning for pediatric liver transplant patients receiving larger grafts was associated with lower risk of postoperative complications, a small retrospective study in Taiwan found.

Kids receiving living-donor livers that were large-for-size — graft-to-recipient weight ratio (GRWR) ≥4% — had a significantly lower risk for postoperative complications in the 3D era than those receiving larger grafts in the pre-3D era and a control group of kids receiving better size-matched organs (OR 0.06, 95% CI 0.006-0.700, P=0.025), reported Chinsu Liu, MD, PhD, of the Taipei Veterans General Hospital in Taiwan, and colleagues. Read more.

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Malnutrition risk correlates with kidney function decline, CKD among older adults

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Malnutrition is associated with poor kidney function, increased risk of kidney function decline and chronic kidney disease among older adults without advanced kidney disease, according to data published in the Journal of Renal Nutrition.

Further, researchers noted that physicians might consider using preventative interventions to lower malnutrition risk (MR) among patients in this population. Read more.

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Recipe: Egg Roll in a Bowl

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Quick joke … How do you make an egg roll?

You push it down a hill!

(rim shot)

There are dozens of bad egg roll puns we can make, but for Jessica Englerth of Killeen, Texas, making delicious, nutritious, and kidney-friendly food is no laughing matter.

Jessica shares with you this “Egg Roll in a Bowl” recipe. Click here to learn how to make this transplant friendly dish.

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Life after transplant: Rejection prevention and healthy tips

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Learn about life after your transplant, including recovery steps, anti-rejection medicines, mental health, and other healthy living tips.

Getting a kidney transplant can feel like having another chance at life. There are many great things that come after a transplant, like having better health and more freedom to do the things you enjoy. However, it is important to remember a transplant is a treatment for kidney disease, not a cure, and you will need to take special care of yourself, and your transplanted kidney. Use the information on this page to learn more about what to expect and how to stay healthy with your new kidney.

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Implementation of the 2014 kidney allocation system led to increase in kidney transplantation referrals

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A study of patients initiating dialysis during 2012-2016 at nine transplant centers in the Southeastern US found that dialysis facilities referred more incident patients and transplant centers evaluated more incident patients following implementation of the 2014 kidney allocation system (KAS) but fewer evaluated patients were placed onto the waitlist. Changes in dialysis facility and transplant center behaviors following implementation of the 2014 KAS may have influenced access to transplantation. Read the full story.

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Racial Gap in Kidney Failure Therapy Widest in Youngest Age Group

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Racial and ethnic disparities in kidney transplantation and home dialysis use among adults with incident kidney failure are most pronounced among those in the youngest age group, according to a recent study.

Among patients aged 22 to 44 years, Black and Hispanic patients were 79% and 53% less likely to undergo kidney transplantation, respectively, 55% and 66% less likely to perform home hemodialysis (HHD), and 35% and 23% less likely to perform peritoneal dialysis (PD) compared with White patients in adjusted analyses, Adam S. Wilk, PhD, of the Rollins School of Public Health at Emory University in Atlanta, Georgia, and colleagues reported in the American Journal of Kidney Diseases. Read more.

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Why enzymatic treatment may increase access to lung transplants

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Patients seeking lung transplants face a number of barriers, one of which is eligibility. Consider Ron Flewett, age 53, a patient with idiopathic pulmonary fibrosis, whose case was described in an article published in Breathe. He knows he may not qualify for transplantation: He is sick, but he has to be sick enough to need the transplant—yet not so sick that he will cease to be eligible.

Physicians can play a role by encouraging their patients to abide by lung transplant eligibility guidelines to raise their chances of acquiring a new lung. Balancing the health timelines can be tricky, and socioeconomic factors can influence prognosis. Also affecting eligibility and outcomes is the issue of blood type compatibility with the donor. Read more.

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Mental health and kidney disease

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If you have kidney disease and have experienced feelings of stress, depression and anxiety, you are not alone. We often talk about the effect kidney disease has on the body but living with kidney disease (whether you have chronic kidney disease (CKD), are on dialysis, have a transplant or care for someone with kidney disease) can be mentally challenging.
Read more.

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COVID-Positive Donor Organs Safe; Shorter Omicron Infectious Period?

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— Studies from a special COVID-focused ECCMID pre-conference

The use of abdominal organs from COVID-19-positive donors for transplant was safe, a small study showed.

No rejection occurred among four recipients who received liver, kidney, or pancreas transplants from four COVID-positive donors, and none of the recipients acquired a COVID infection, reported Emily Eichenberger, MD, of Duke University in Durham, North Carolina, at a special COVID-focused pre-meeting of the European Congress of Clinical Microbiology & Infectious Diseases (ECCMID). Read more.

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