Management of Kidney Disease in Heart Transplant Patients: A National Delphi Survey-based Consensus Expert Paper
Kidney disease is a common complication in heart transplant recipients and requires a comprehensive and personalized approach. The interplay between preexisting kidney disease, perioperative factors, immunosuppression, and cardiovascular complications makes the management of kidney dysfunction challenging in these patients. The objective of this expert consensus was to look for agreements for the management of chronic kidney disease in heart transplant recipients. A panel of Spanish cardiologists and nephrologists with expertise in heart and kidney transplantation reviewed the evidence related to the current management of chronic kidney disease in heart transplant recipients and consensus statements were developed using a 2-round Delphi methodology. Consensus statements were proposed covering key topics, including the identification and management of kidney disease in heart transplant recipients and the indications for kidney transplantation. These statements provide additional expert guidance for the management of kidney disease in patients undergoing heart transplantation where published clinical evidence is scarce.
Authors
- Verónica López Jiménez
- Diego Rangel‐Sousa (ORCID: https://orcid.org/0000-0003-2435-0155)
- María Dolores García‐Cosío Carmena (ORCID: https://orcid.org/0000-0002-9330-9896)
- Marta Farrero (ORCID: https://orcid.org/0000-0002-2404-8821)
- Constantino Fernández Rivera (ORCID: https://orcid.org/0000-0003-2801-6752)
- Emilio Rodrigo (ORCID: https://orcid.org/0000-0003-0035-3298)
- Josep M. Cruzado (ORCID: https://orcid.org/0000-0003-1388-8558)
- Edoardo Melilli (ORCID: https://orcid.org/0000-0001-6965-3745)
- Beatriz Díaz‐Molina (ORCID: https://orcid.org/0000-0002-7773-8121)
- Lourdes Pérez Tamajón (ORCID: https://orcid.org/0000-0001-9812-5706)
- Domingo Hernández (ORCID: https://orcid.org/0000-0001-5469-2119)
- Juan F. Delgado (ORCID: https://orcid.org/0000-0002-5401-8324)
- Sònia Mirabet Pérez
- Manel Peiró
- Marta Crespo
- Iris Paula Garrido Bravo (ORCID: https://orcid.org/0000-0003-2437-7964)
Institutions
- Hospital de Sant Pau (ES)
- Bellvitge University Hospital (ES)
- Centro de Investigación en Red en Enfermedades Cardiovasculares (ES)
- Instituto de Investigación Marqués de Valdecilla (ES)
- Hospital Universitario Miguel Servet (ES)
- Hospital Clínic de Barcelona (ES)
- Hospital Universitario Central de Asturias (ES)
- Complexo Hospitalario Universitario A Coruña (ES)
- Hospital Universitario Virgen del Rocío (ES)
Publication Details
- Journal
- Transplantation
- Published
- 2025-02-07
- DOI
- https://doi.org/10.1097/tp.0000000000005302
- Citations
- 1
- Primary Topic
- Transplantation: Methods and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.01