Kidney Week 2025 Early Program - Care of Kidney Transplant Candidates and Recipients-Managing Outpatient Delayed Kidney Graft Function/Dialysis

Managing Outpatient Delayed Kidney Graft Function/Dialysis

Video Transcription

Video Summary

The talk reviews managing delayed graft function (DGF) after kidney transplant when patients are discharged still requiring dialysis. Because DGF is common, centers need clear outpatient action plans and defined responsibilities among the transplant team, dialysis facility, and general nephrologist—especially for lab review, medication changes, and dialysis-related complications. The National Kidney Foundation’s 2022 DGF workshop highlighted variability in practice and recommended thrice-weekly dialysis for oliguria and considering dialysis reduction once urine output exceeds ~1,000 mL/day. Peritoneal dialysis is feasible but uncommon; protocols emphasize intact peritoneum, low-volume supine CCPD, and test dwells. Most centers don’t change immunosuppression targets; steroid withdrawal effects are modest.

Asset Subtitle

Alexander Wiseman

Meta Tag

Module TRX

Speaker Alexander Wiseman

Keywords

delayed graft function (DGF)

kidney transplant outpatient management

post-transplant dialysis protocols

thrice-weekly hemodialysis and urine output thresholds

peritoneal dialysis after transplant (low-volume supine CCPD)