Referral for kidney transplantation: a consensus statement from the Brazilian Society of Nephrology

Brazil ranks among the top five countries performing kidney transplants, operating the largest public transplantation system in the world. Nevertheless, the number of procedures performed represents less than 40% of demand, and there are significant regional disparities, with areas of the country reporting very low transplantation activity. Among the potential causes of this scenario are the low frequency of referrals for transplant evaluation and referrals made under inappropriate clinical conditions. In this document, the Brazilian Society of Nephrology aims to compile information supporting the selection of kidney transplantation as a renal replacement therapy. The document also details contraindications and patient care after listing and prioritization, in line with the national context. Our goal is to provide a document that serves as a national reference and contributes to streamlining the referral process for kidney transplantation, making it more frequent and effective, thereby expanding candidates՚ access to this treatment.

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Publication Details

Journal
Brazilian Journal of Nephrology
Published
2025-08-18
DOI
https://doi.org/10.1590/2175-8239-jbn-2025-0110en
Primary Topic
Organ Donation and Transplantation
Type
article
Field-Weighted Citation Impact
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article

Referral for kidney transplantation: a consensus statement from the Brazilian Society of Nephrology

Álvaro Pacheco‐Silva, Luís Gustavo Modelli de Andrade, Helady Sanders‐Pinheiro, José A. Moura-Neto et al.
Brazilian Journal of Nephrology
Organ Donation and Transplantation
article

Referral for kidney transplantation: a consensus statement from the Brazilian Society of Nephrology

Álvaro Pacheco‐Silva, Luís Gustavo Modelli de Andrade, Helady Sanders‐Pinheiro, José A. Moura-Neto, Tainá Veras de Sandes‐Freitas, Laila Almeida Viana, Pedro Túlio Rocha, Lúcio Requião‐Moura, Lílian Pires de Freitas do Carmo, Gustavo Fernandes Ferreira, Lauro Monteiro Vasconcellos Filho, Luiz Roberto de Sousa Ulisses
article en

Abstract

Brazil ranks among the top five countries performing kidney transplants, operating the largest public transplantation system in the world. Nevertheless, the number of procedures performed represents less than 40% of demand, and there are significant regional disparities, with areas of the country reporting very low transplantation activity. Among the potential causes of this scenario are the low frequency of referrals for transplant evaluation and referrals made under inappropriate clinical conditions. In this document, the Brazilian Society of Nephrology aims to compile information supporting the selection of kidney transplantation as a renal replacement therapy. The document also details contraindications and patient care after listing and prioritization, in line with the national context. Our goal is to provide a document that serves as a national reference and contributes to streamlining the referral process for kidney transplantation, making it more frequent and effective, thereby expanding candidates՚ access to this treatment.

Brazilian Journal of NephrologyVol. 47(4)
Universidade Federal de Juiz de Fora (BR), Universidade Federal de Minas Gerais (BR), Escola Bahiana de Medicina e Saúde Pública (BR), Universidade Federal do Ceará (BR), Hospital Universitário - Universidade Federal de Juiz de Fora (BR), Sociedade Brasileira de Pediatria (BR), Sociedad Española de Nefrología (ES), Fundo Brasil (BR), Sociedade de Nefrologia do Estado de São Paulo (BR), Sociedade Brasileira de Oncologia Clínica (BR), Sociedade Brasileira de Cardiologia (BR), Universidade Federal do Espírito Santo (BR), Universidade Estadual Paulista (Unesp) (BR), Universidade Federal de São Paulo (BR)
Openalex Percentile: Top 71%
Organ Donation and Transplantation
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