Priority 22 from the Kidney Transplant PSP

UNCERTAINTY: What tests are required to determine whether a transplant is a suitable option for a patient?
Overall ranking Priority questions agreed on but not put in ranked order
JLA question ID 0037/22
Explanatory note Not available for this PSP

Existing Systematic Reviews: Wang, L. W., Masson, P., Turner, R. M., Lord, S. W., Baines, L. A., Craig, J. C., Webster, A. C. Prognostic value of cardiac tests in potential kidney transplant recipients: a systematic review.Transplantation. 2015;99(4):731-45 ~
Tong, A.; Hanson, C. S.; Chapman, J. R.; Halleck, F.; Budde, K.; Papachristou, C.; Craig, J. C.. The preferences and perspectives of nephrologists on patients' access to kidney transplantation: a systematic review. Transplantation 2014;98(7):682-91
Existing Randomised Controlled Trials: Huml, A. M., Sullivan, C. M., Pencak, J. A., Sehgal, A. R. Accuracy of dialysis medical records in determining patients' interest in and suitability for transplantation. Clinical Transplantation. 2013;27(4):541-5 PMID: 23803012 ~
Anderson K, Cass A, Cunningham J, Snelling P, Devitt J, Preece C. The use of psychosocial criteria in Australian patient selection guidelines for kidney transplantation. Soc Sci Med. 2007 May;64(10):2107-14. Epub 2007 Mar 21. PMID: 17368896 ~
Cass A, Cunningham J, Anderson K, Snelling P, Colman S, Devitt J, Preece C, Eris J. Decision-making about suitability for kidney transplantation: Results of a national survey of Australian nephrologists. Nephrology (Carlton). 2007 Jun;12(3):299-304. PMID:17498127

Health Research Classification System category Renal and Urogenital
Extra information provided by this PSP
Original uncertainty examples

What is the optimal assessment and investigation of the potential recipient prior to listing? how do you select suitable patients for transplant? Should pre assessment be more intensive enabling outcomes to be predicted and pathways to be followed Does your overall health & fitness impact on suitability for transplant? What tests are required to assess transplant suitability?


Comparison Diagnostics
Submitted by

Patient x 1 Clinicians x 4

Outcomes to be measured Patient and graft survival, graft function, adverse events
PSP information
PSP unique ID 0037
PSP name Kidney Transplant
Total number of uncertainties identified by this PSP. 90  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 3 February 2016