Evaluation of patients for kidney transplantation

Oko 30 % bolesnika s terminalnim stadijem kroničnog bubrežnog zatajenja (TBZ) koji se liječe dijalizom nalazi se na listi čekanja za transplantaciju bubrega od umrle osobe u Hrvatskoj. U većine ostalih bolesnika postoje kontraindikacije za transplantaciju. Glavni je uzrok sve starija životna dob bolesnika i zbog toga veća učestalost kardiovaskularnih bolesti, kao i šećerne bolesti. Prije uvrštavanja na listu čekanja, bolesnike s TBZ potrebno je opsežno i temeljito obraditi. Potrebno je liječiti prateće bolesti koje mogu utjecati na preživljavanje transplantata i preživljavanje bolesnika. Nakon uvrštavanja bolesnika na listu čekanja obavezno je ponovno učiniti pretrage i u slučaju pojave kontraindikacije za transplantaciju privremeno ili trajno brisati bolesnika s liste čekanja.Only one third of those patients with end-stage renal disease (ESRD) who received dialysis treatment in Croatia are registered on the waiting list for a cadaveric kidney transplant. For majority of patients transplantation is not possible because of various contraindications. The main reason is a steadily growing age and therefore higher incidence of cardiovascular disease and diabetes. Before including patients in the waiting list, potential kidney transplant recipients should undergo a rigorous selection and evaluation. It is necessary to treat concomitant diseases which can influence patient’s and transplant’s survival. After including patients on waiting list, it is obligatory to evaluate them and look for potential contraindications. In that case they have to be temporarily or permanently removed from the waiting list