The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective

Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the...
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Autor*in:	Albino Eccher [verfasserIn] Jan Ulrich Becker [verfasserIn] Fabio Pagni [verfasserIn] Giorgio Cazzaniga [verfasserIn] Mattia Rossi [verfasserIn] Giovanni Gambaro [verfasserIn] Vincenzo L’Imperio [verfasserIn] Stefano Marletta [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	preimplantation kidney biopsy pathologist kidney transplant

Übergeordnetes Werk:	In: Life - MDPI AG, 2012, 14(2024), 2, p 254
Übergeordnetes Werk:	volume:14 ; year:2024 ; number:2, p 254

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/life14020254

Katalog-ID:	DOAJ099618559

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allfields	10.3390/life14020254 doi (DE-627)DOAJ099618559 (DE-599)DOAJc2f2b699038946f1a205ffabb3df530b DE-627 ger DE-627 rakwb eng Albino Eccher verfasserin aut The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective. preimplantation kidney biopsy pathologist kidney transplant Science Q Jan Ulrich Becker verfasserin aut Fabio Pagni verfasserin aut Giorgio Cazzaniga verfasserin aut Mattia Rossi verfasserin aut Giovanni Gambaro verfasserin aut Vincenzo L’Imperio verfasserin aut Stefano Marletta verfasserin aut In Life MDPI AG, 2012 14(2024), 2, p 254 (DE-627)718627156 (DE-600)2662250-6 20751729 nnns volume:14 year:2024 number:2, p 254 https://doi.org/10.3390/life14020254 kostenfrei https://doaj.org/article/c2f2b699038946f1a205ffabb3df530b kostenfrei https://www.mdpi.com/2075-1729/14/2/254 kostenfrei https://doaj.org/toc/2075-1729 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2024 2, p 254
spelling	10.3390/life14020254 doi (DE-627)DOAJ099618559 (DE-599)DOAJc2f2b699038946f1a205ffabb3df530b DE-627 ger DE-627 rakwb eng Albino Eccher verfasserin aut The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective. preimplantation kidney biopsy pathologist kidney transplant Science Q Jan Ulrich Becker verfasserin aut Fabio Pagni verfasserin aut Giorgio Cazzaniga verfasserin aut Mattia Rossi verfasserin aut Giovanni Gambaro verfasserin aut Vincenzo L’Imperio verfasserin aut Stefano Marletta verfasserin aut In Life MDPI AG, 2012 14(2024), 2, p 254 (DE-627)718627156 (DE-600)2662250-6 20751729 nnns volume:14 year:2024 number:2, p 254 https://doi.org/10.3390/life14020254 kostenfrei https://doaj.org/article/c2f2b699038946f1a205ffabb3df530b kostenfrei https://www.mdpi.com/2075-1729/14/2/254 kostenfrei https://doaj.org/toc/2075-1729 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2024 2, p 254
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allfieldsGer	10.3390/life14020254 doi (DE-627)DOAJ099618559 (DE-599)DOAJc2f2b699038946f1a205ffabb3df530b DE-627 ger DE-627 rakwb eng Albino Eccher verfasserin aut The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective. preimplantation kidney biopsy pathologist kidney transplant Science Q Jan Ulrich Becker verfasserin aut Fabio Pagni verfasserin aut Giorgio Cazzaniga verfasserin aut Mattia Rossi verfasserin aut Giovanni Gambaro verfasserin aut Vincenzo L’Imperio verfasserin aut Stefano Marletta verfasserin aut In Life MDPI AG, 2012 14(2024), 2, p 254 (DE-627)718627156 (DE-600)2662250-6 20751729 nnns volume:14 year:2024 number:2, p 254 https://doi.org/10.3390/life14020254 kostenfrei https://doaj.org/article/c2f2b699038946f1a205ffabb3df530b kostenfrei https://www.mdpi.com/2075-1729/14/2/254 kostenfrei https://doaj.org/toc/2075-1729 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2024 2, p 254
allfieldsSound	10.3390/life14020254 doi (DE-627)DOAJ099618559 (DE-599)DOAJc2f2b699038946f1a205ffabb3df530b DE-627 ger DE-627 rakwb eng Albino Eccher verfasserin aut The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective. preimplantation kidney biopsy pathologist kidney transplant Science Q Jan Ulrich Becker verfasserin aut Fabio Pagni verfasserin aut Giorgio Cazzaniga verfasserin aut Mattia Rossi verfasserin aut Giovanni Gambaro verfasserin aut Vincenzo L’Imperio verfasserin aut Stefano Marletta verfasserin aut In Life MDPI AG, 2012 14(2024), 2, p 254 (DE-627)718627156 (DE-600)2662250-6 20751729 nnns volume:14 year:2024 number:2, p 254 https://doi.org/10.3390/life14020254 kostenfrei https://doaj.org/article/c2f2b699038946f1a205ffabb3df530b kostenfrei https://www.mdpi.com/2075-1729/14/2/254 kostenfrei https://doaj.org/toc/2075-1729 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2024 2, p 254
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author	Albino Eccher
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topic	misc preimplantation kidney biopsy misc pathologist misc kidney transplant misc Science misc Q
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title_sort	puzzle of preimplantation kidney biopsy decision-making process: the pathologist perspective
title_auth	The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective
abstract	Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective.
abstractGer	Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective.
abstract_unstemmed	Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective.
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title_short	The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective
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