Kidney Week 2025 Early Program - Care of Kidney Transplant Candidates and Recipients-Moderated Discussion

Video Transcription

Video Summary

The session shifts to Q&A after four presentations, focusing on how kidney transplant patients transition from transplant centers to general nephrology and primary care. Attendees note wide variation across transplant programs and call for standardized discharge communications, including formal letters, guidelines, and avoiding information overload that may not be relevant to general nephrologists. A patient asks how referrals to nephrologists happen and highlights fragmented care when moving or seeing multiple providers. Clinicians describe different models (full longitudinal transplant follow-up vs hybrid approaches) and emphasize aligning on immunosuppression management. Discussion includes post-transplant use of GLP-1 agonists and SGLT2 inhibitors, with some centers starting SGLT2s a few months after transplant and generally not being overly concerned about UTIs unless there’s significant history. Patient advocate Valen Kiefer stresses empowering patients to self-advocate and the need for a centralized “transplant hub,” recommending local organ procurement organizations and kidney groups for community support. The moderator closes by emphasizing long-term care for patients decades post-transplant.

Asset Subtitle

Rajendra S. Baliga, Samira S. Farouk, Valen Elizabeth Keefer, Vineeta Kumar, Mary Moss Chandran, Naoka Murakami, Karin A. True

Meta Tag

Module TRX

Speaker FACULTY FACULTY

Keywords

kidney transplant transition of care

transplant center discharge communication

general nephrology post-transplant follow-up

immunosuppression management coordination

SGLT2 inhibitors and GLP-1 agonists post-transplant

patient self-advocacy and transplant hub support