Evaluation and Management of Candidates for Kidney Transplantation

All patients with chronic kidney disease (CKD) G4-G5 (glomerular filtration rate [GFR] < 30ml/min/1.73 m² ) who are expected to reach end-stage kidney disease (ESKD) should be informed of, educated about, and considered for kidney transplantation.

Refer potential kidney transplant candidates for evaluation at least 6 to 12 months before anticipated dialysis initiation to facilitate identification/work-up of living donors and plan for possible pre-emptive transplantation.

Pre-emptive transplantation with a living kidney donor is the preferred treatment for transplant-eligible CKD patients.