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The number of patients in the U.S. waiting for a kidney transplant, receiving a kidney transplant, and the number of cadaver organ donors per year. affected by prolonged waiting time on dialysis therapy. Therefore, patients early in the course of renal disease need information about, and access to transplantation services. One of the first steps is for the primary care physician or nephrolo-gist to orient the patient to the transplant process. This can occur with that physician or...

Outcomes

All transplant centers are required to report patient and graft survival (and much more) to UNOS. Data collected by UNOS are transferred to the Scientific Registry of Transplant Recipients for analysis and preparation of reports that have begun to appear on the Internet every six months in July and January (35). Each organ specific report covers a 30- month cohort of recipients followed for at least one year after transplantation. The reports list one-year patient and graft survival for the...

Evaluation Of Candidates For Pancreas Transplantation

There are significant pre-existing morbidities of pancreas transplant candidates with advanced renal disease. It should be assumed that coincident extrarenal disease is present. Diabetic retinopathy is a nearly ubiquitous finding in patients with diabetes and end-stage renal disease. Significant vision loss may have occurred. Also patients may be overtly blind. Blindness is not an absolute contraindication to transplantation since many blind patients lead very independent life styles. Although...

Cadaveric Donors

The Association of Organ Procurement Organizations (AOPO) estimates that potential cadaveric organ donors have stabilized at 11,000 to 14,000 yearly. A few (less than 5 percent) are non-heart-beating donors, but in the vast majority cardiovascular circulation remains intact until organs are removed. Despite broad public awareness of the need for and benefit from organ transplants, less than half of the immediate relatives of potential cadaveric donors give their consent to remove vital organs....

Essay 10 Dental Issues before and after Organ Transplantation

Despite the dramatic reduction in dental disease over the past three decades, resulting principally from fluoridation of public water supplies and increased public education, the mouth remains the most commonly infected site in the body. Almost all adults have some subacute, asymptomatic source of oral infection, arising most frequently as a result of chronic periodontal disease. Added to this is the fact that less than half the population chooses to receive regular maintenance care and instead...