May Be Huge Mistake For Chronic Kidney Disease Patients To Discard Kidneys Labeled "High Risk"

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According to a Columbia University Medical Center, roughly 10 percent of kidneys from Deceased Donors that are able to be transplanted met the criteria laid out by the Centers for Disease Control and Prevention (CDC) as “high-risk” for infection and possible transference of the disease to the Kidney Recipient. High-risk infections included Human Immunodeficiency Virus (HIV), Hepatitis C (HCV) and Hepatitis B (HBV). About 78 percent of the Donor Kidneys are rejected from medical centers because they "refused to use the kidneys" based upon labeled risks. However, the new study concluded that many of the discarded kidneys are safe and therefore should not be labeled as "high-risk" at all. This could greatly increase the number of kidneys to which those with Chronic Kidney Disease (CKD) have access.

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Results that will be shared in early November at the meeting of the American Society of Nephrology (ASN), reveal that 86.5 percent of the transplanted kidneys listed as "high-risk" were functioning and none of the patients had been infected with HIV or Hepatitis C or B after an average of 2.4 years. These findings demonstrate the relative safety of so-called "high-risk" kidneys when they are screened using existing methods. Researchers further suggest that labels should state "identified-risk" rather than the current "high-risk" warnings. 

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Relabeling will likely make kidneys that are currently discarded more appealing. KidneyBuzz.com finds this to be welcomed news that may represent an opportunity to shorten the Kidney Transplant Waiting List for CKD patients while providing good outcomes and an extremely low level of risk for transmission of infections. "For most deceased organ donors, the medical/social history is obtained second- or third-hand, and it is erroneous to assume that some of these patients do not fall into the groups that constitute the 'high-risk' classification. Therefore, we believe that the current . . . classification [division] is misleading and does a disservice to those patients on the waiting list," said study leader Moya Gallagher, at the New York-Presbyterian Hospital/Columbia University Medical Center in a recent press release.

 

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References:

"Some 'High-Risk' Kidneys May Be Safe for Organ Transplant: Study." US News. U.S.News & World Report

"Transplants of High Risk Donor Kidneys Had No Sign of HIV or Hepatitis Infection Years Later." DailyRx.com. DailyRx