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In end-stage chronic kidney disease, the option of organ transplantation is limited because of the scarce availability of kidneys.
Continuous growth in the number of patients with kidney failure has not been matched by an increase in the availability of kidneys for transplantation.
Constraints on resources Ten studies reported that dialysis or transplant resources (such as space at a satellite facility or availability of kidneys) formed the basis of treatment decisions.
See related commentary by Kaufman et al., http://ccforum.com/content/13/5/189 Given that the healthcare policies regarding end-stage kidney failure in western countries are for less restrictive criteria for entering the kidney transplant list and increasing indications to treat end-stage kidney failure, there is a worsening imbalance between needs and availability of kidneys from cadaver donors.
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Ongoing growth in the number of patients with kidney failure and limited availability of kidney transplants leads to long waiting lists and poor quality of life.
There is a significant shortfall in the availability of donor kidneys for transplantation.
Timely availability of a kidney specialist poses a formidable challenge in ICUs located in tier II and tier III cities of the developing world.
In our clinical practice, the decision to reattempt further AVF creation is influenced by age, co-morbidities, remaining vessel ultrasound mapping characteristics and the option of an alternative renal replacement modality such as the availability of a living kidney donor.
The availability of several biomarkers of kidney injury has created excitement in offering new tools for recognition and management of AKI.
With Blacks and Hispanics less likely to donate kidneys when they die than Whites, the availability of matching deceased donor kidneys for this racial group is lower [ 21, 22].
Medical researchers frequently attribute this to the availability of medically compatible living kidney donors, who are usually kin.
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