This clinical practice guideline addresses access to kidney transplantation together with the evaluation, selection and preparation of the potential kidney transplant recipient. Guidance on the medical management of the kidney transplant recipient is provided in another module of the Renal Association guidelines available at www.renal.org. In this guideline Chronic Kidney Disease Stage 5 (CKD 5) includes pre-dialysis and transplant patients with eGFR < 15 mls/min/1.73m2 as well as patients on dialysis i.e. CKD 5, CKD 5T and CKD 5D.
This guideline is an updated version of the Renal Association guidance published in 2007 and is based on a review of the literature between 2007 and 2010. Where evidence was available from RCTs and systematic reviews recommendations were based on these publications. Where there was a lack of evidence from high-quality studies recommendations were based on the best available evidence, taking in account the previous clinical practice guidelines from North America and the European Renal Best Practice (ERBP) guidelines for renal transplantation. The guidelines have been endorsed by the British Transplantation Society.