Cargando…

Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence

Living donor kidney transplantation is a widely performed medical procedure. Living kidney donation requires an in-depth health assessment of candidates. The potential living kidney donor must remain healthy after kidney removal. A consequence of donation can be a decrease in glomerular filtration r...

Descripción completa

Detalles Bibliográficos
Autores principales: Poznański, Paweł, Lepiesza, Agnieszka, Jędrzejuk, Diana, Mazanowska, Oktawia, Bolanowski, Marek, Krajewska, Magdalena, Kamińska, Dorota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8951425/
https://www.ncbi.nlm.nih.gov/pubmed/35329811
http://dx.doi.org/10.3390/jcm11061485
_version_ 1784675382977363968
author Poznański, Paweł
Lepiesza, Agnieszka
Jędrzejuk, Diana
Mazanowska, Oktawia
Bolanowski, Marek
Krajewska, Magdalena
Kamińska, Dorota
author_facet Poznański, Paweł
Lepiesza, Agnieszka
Jędrzejuk, Diana
Mazanowska, Oktawia
Bolanowski, Marek
Krajewska, Magdalena
Kamińska, Dorota
author_sort Poznański, Paweł
collection PubMed
description Living donor kidney transplantation is a widely performed medical procedure. Living kidney donation requires an in-depth health assessment of candidates. The potential living kidney donor must remain healthy after kidney removal. A consequence of donation can be a decrease in glomerular filtration rate (GFR), and donors can become at risk of developing chronic kidney disease (CKD). We present a rationale for potential living kidney donor withdrawal due to Paget’s disease of bone (PDB) based on a literature review. The treatment for PDB includes the use of, for example, non-steroidal anti-inflammatory drugs (NSAIDs), which can lead to acute kidney injury (AKI) as well as CKD, or bisphosphonates, which are not recommended for patients with decreased GFR.
format Online
Article
Text
id pubmed-8951425
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89514252022-03-26 Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence Poznański, Paweł Lepiesza, Agnieszka Jędrzejuk, Diana Mazanowska, Oktawia Bolanowski, Marek Krajewska, Magdalena Kamińska, Dorota J Clin Med Review Living donor kidney transplantation is a widely performed medical procedure. Living kidney donation requires an in-depth health assessment of candidates. The potential living kidney donor must remain healthy after kidney removal. A consequence of donation can be a decrease in glomerular filtration rate (GFR), and donors can become at risk of developing chronic kidney disease (CKD). We present a rationale for potential living kidney donor withdrawal due to Paget’s disease of bone (PDB) based on a literature review. The treatment for PDB includes the use of, for example, non-steroidal anti-inflammatory drugs (NSAIDs), which can lead to acute kidney injury (AKI) as well as CKD, or bisphosphonates, which are not recommended for patients with decreased GFR. MDPI 2022-03-09 /pmc/articles/PMC8951425/ /pubmed/35329811 http://dx.doi.org/10.3390/jcm11061485 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Poznański, Paweł
Lepiesza, Agnieszka
Jędrzejuk, Diana
Mazanowska, Oktawia
Bolanowski, Marek
Krajewska, Magdalena
Kamińska, Dorota
Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence
title Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence
title_full Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence
title_fullStr Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence
title_full_unstemmed Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence
title_short Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence
title_sort is a patient with paget’s disease of bone suitable for living kidney donation?—decision-making in lack of clinical evidence
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8951425/
https://www.ncbi.nlm.nih.gov/pubmed/35329811
http://dx.doi.org/10.3390/jcm11061485
work_keys_str_mv AT poznanskipaweł isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence
AT lepieszaagnieszka isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence
AT jedrzejukdiana isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence
AT mazanowskaoktawia isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence
AT bolanowskimarek isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence
AT krajewskamagdalena isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence
AT kaminskadorota isapatientwithpagetsdiseaseofbonesuitableforlivingkidneydonationdecisionmakinginlackofclinicalevidence