Transplanting kidney from expanded criteria donors(ECD)is one of the important modes of alleviating the shortage of kidney organs.ECD kidney function is usually relatively insufficient and transplantation of a single ECD kidney may not be enough to fulfill the recipient's demand for kidney function,thus affecting the transplantation outcomes.Simultaneous transplantation of two ECD kidneys from the same donor to one recipient(dual kidney transplantation,DKT)provides a feasible solution to this problem.To improve the utilization rate of ECD kidneys and the success rate of DKT and optimize the clinical outcomes of DKT,the Organ Transplantation Society of Chinese Medical Association organized a panel of domestic experts in the field of kidney transplantation to provide detailed evidence-based medical recommendations for twelve common issues related to DKT using adult kidneys.The topics focused upon donor kidney evaluations,recipient screening,surgical options and complications and clinical outcomes,etc.The recommendations were based upon the"Oxford Grading System for Evidence Level and Recommendation Assessment".The goals were guiding clinical practices,improving the DKT level in China,promoting the application of ECD kidneys by DKT,lowering organ discard rate and alleviating organ shortage.
关键词
肾脏移植/双肾移植/成人供者/扩大标准供者/指南
Key words
Kidney transplantation/Dural kidney transplantation/Adult donor/Expanded criteria donor/Guideline/Grading of evidence level and recommendation assessment
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