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Adv Chronic Kidney Dis. 2015 Sep;22(5):404-11. doi: 10.1053/j.ackd.2015.06.001.

Chronic Kidney Disease and Related Long-Term Complications After Liver Transplantation.

Author information

1
Division of Gastroenterology, University of Michigan, Ann Arbor, MI; Division of Gastroenterology, University of Cincinnati, Cincinnati, OH. Electronic address: pratimas@med.umich.edu.
2
Division of Gastroenterology, University of Michigan, Ann Arbor, MI; Division of Gastroenterology, University of Cincinnati, Cincinnati, OH.

Abstract

Liver transplantation is the standard of care for patients with decompensated cirrhosis. Liver transplantation recipients have excellent short-term and long-term outcomes including patient and graft survival. Since the adoption of model for end-stage liver disease (MELD)-based allocation policy, the incidence of post-transplant end stage renal disease has risen significantly. Occurrence of Stage 4 chronic kidney disease and end stage renal disease substantially increases the risk of post-transplant deaths. Because majority of late post-transplant mortality is due to nonhepatic post-transplant comorbidities, personalized care directed toward risk factor modification may further improve post-transplant survival.

KEYWORDS:

Chronic kidney disease; ESRD; Liver transplantation; MELD

PMID:
26311603
PMCID:
PMC4556126
DOI:
10.1053/j.ackd.2015.06.001
[Indexed for MEDLINE]
Free PMC Article

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