Table 9

Criteria for simultaneous liver-kidney transplant candidates as proposed by the UNOS Kidney Transplantation Committee and the Liver and Intestinal Organ Transplantation Committee (UNOS Policy 3)

a. Chronic kidney disease (CKD) requiring dialysis with documentation of the CMS form 2728a

b. Chronic kidney disease (GFR < = 30 ml/min by MDRD6 or iothalamate measurement and proteinuria > 3 gms/day with 24 hour protein measurement or urine protein/creatinine ratio > 3 not requiring dialysis

c. Sustained acute kidney injury requiring dialysis for 6 weeks or more (defined as dialysis at least twice per week for 6 consecutive weeks)

d. Sustained acute kidney injury (GFR < = 25 ml/min for 6 weeks or more by MDRD6 or direct measurement) not requiring dialysis

e. Sustained acute kidney injury: Patients may also qualify for SLK listing with a combination of time in categories (c) and (d) above for a total of six weeks (or example, patients with a GFR < 25 ml/min for 3 weeks followed by dialysis for 3 weeks).

f. Metabolic Disease

CKD, chronic kidney disease; CMS, Center for Medicare & Medicaid Services; GFR, glomerular filtration rate; MDRD-6, Modification of Diet in Renal Disease formula calculated using 6 variables of serum creatinine, serum urea, serum albumin, age, gender and whether the patient is African-American or not.

aCMS form 2728: Form required by Medicare & Medicaid stating that a dialysis patient has end-stage renal disease with no chance of renal recovery

Nadim et al. Critical Care 2012 16:R23   doi:10.1186/cc11188

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