Kidney transplantation outcomes: Is it possible to improve when good results are falling down?  

作　　者：Fernando M Gonzalez Francisca del Rocío Gonzalez Cohens 

机构地区：[1]Department of Nephrology,Faculty of Medicine,Universidad de Chile,Santiago 7500922,Chile [2]Web Intelligence Centre,Faculty of Physics and Mathematical Sciences,Universidad de Chile,Santiago 8370397,Chile

出　　处：《World Journal of Transplantation》2024年第3期1-4,共4页世界移植杂志

摘　　要：Famure et al describe that close to 50%of their patients needed early or very early hospital readmissions after their kidney transplantation.As they taught us the variables related to those outcomes,we describe eight teaching capsules that may go beyond what they describe in their article.First two capsules talk about the ideal donors and recipients we should choose for avoiding the risk of an early readmission.The third and fourth capsules tell us about the reality of cadaveric donors and recipients with comorbidities,and the way transplant physicians should choose them to maximize survival.Fifth capsule shows that any mistake can result in an early readmission,and thus,in poorer outcomes.Sixth capsule talks about economic losses of early readmissions,cost-effectiveness of tran-splantation,and how to improve outcomes and reduce costs by managing a risky patient-portfolio.Seventh capsule argues about knowing your risk behavior to better manage your portfolio;and Eighth capsule about the importance of the center experience in transplanting complex patients.We finish with some lessons of the importance of the transplantation process and the collaboration with other disciplines in order to prevent the conditions that lead to early readmissions.

关 键 词：Kidney tranplantation HOSPITALIZATION Prognostic factors Portfolio theory TRANSPLANT 

分 类 号：R699.2[医药卫生—泌尿科学]