Tuesday, December 2, 2014

I'm sharing "Randomized Trial of Valganciclovir Versus Valacyclovir Prophylaxis for Prevention of Cytomegalovirus in Renal Transplantation."

I thought you would be interested in this article.

Clinical Journal of the American Society of Nephrology : CJASN 2014 Nov 25;

Randomized Trial of Valganciclovir Versus Valacyclovir Prophylaxis for Prevention of Cytomegalovirus in Renal Transplantation.
Tomas Reischig, Martin Kacer, Pavel Jindra, Ondrej Hes, Daniel Lysak, Mirko Bouda

PMID: 25424991

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Alberto Reino Buelvas

The Need for a Standardized Informed Consent Procedure in Live Donor Nephrectomy: A Systematic Review

Transplantation - Current Issue The Need for a Standardized Informed Consent Procedure in Live Donor Nephrectomy: A Systematic Review

imageBackgroundInformed consent in live donor nephrectomy is a topic of great interest. Safety and transparency are key items increasingly getting more attention from media and healthcare inspection. Because live donors are not patients, but healthy individuals undergoing elective interventions, they justly insist on optimal conditions and guaranteed safety. Although transplant professionals agree that consent should be voluntary, free of coercion, and fully informed, there is no consensus on which information should be provided, and how the donors' comprehension should be ascertained. MethodsComprehensive searches were conducted in Embase, Medline OvidSP, Web-of-Science, PubMed, CENTRAL (The Cochrane Library 2014, issue 1) and Google Scholar, evaluating the informed consent procedure for live kidney donation. The methodology was in accordance with the Cochrane Handbook for Interventional Systematic Reviews and written based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. ResultsThe initial search yielded 1,009 hits from which 21 articles fell within the scope of this study. Procedures vary greatly between centers, and transplant professionals vary in the information they disclose. Although research has demonstrated that donors often make their decision based on moral reasoning rather than balancing risks and benefits, providing them with accurate, uniform information remains crucial because donors report feeling misinformed about or unprepared for donation. Although a standardized procedure may not provide the ultimate solution, it is vital to minimize differences in live donor education between transplant centers. ConclusionThere is a definite need for a guideline on how to provide information and obtain informed consent from live kidney donors to assist the transplant community in optimally preparing potential donors.


http://journals.lww.com/transplantjournal/Fulltext/2014/12150/The_Need_for_a_Standardized_Informed_Consent.3.aspx

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Alberto Reino Buelvas

Summary of the British Transplantation Society Guidelines for Management of the Failing Kidney Transplant

Transplantation - Current Issue Summary of the British Transplantation Society Guidelines for Management of the Failing Kidney Transplant

imageThe British Transplantation Society "Guideline for Transplantation Management of the Failing Kidney Transplant" was published in May 2014. This is the first national guideline in this field. In line with previous guidelines published by the British Transplantation Society, the guideline has used the GRADE system to rate the strength of evidence and recommendations.This article summarizes the Statements of Recommendation contained in the guideline, which provide a framework for the management of the failing kidney graft in the United Kingdom and may be of wide international interest. It is recommended that the full guideline document is consulted for details of the relevant references and evidence base. This may be accessed at: http://www.bts.org.uk/MBR/Clinical/Guidelines/Current/Member/Clinical/Current_Guidelines.aspx


http://journals.lww.com/transplantjournal/Fulltext/2014/12150/Summary_of_the_British_Transplantation_Society.2.aspx

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Alberto Reino Buelvas