Caring for Patients with Renal Transplant

References: MKSAP 19, Renal Transplant Guidelines

Immunosuppression Therapy

Long-Term Management

Increased Risk of Comorbidities

Malignancies

RTx patients are at increased risk of skin cancer, RCC, CRC, Lung Cancer, Thyroid Cancer, anogenital cancers, and posttransplant lymphoproliferative disease.

Patients should have routine annual skin examinations.

CV Disease

New-Onset Diabetes after Transplant (NODAT)

Especially in patients on steroids, calcineurin inhibitors, and mTOR inhibitors. FBG measured annually after the first year. Diagnosis of NODAT is the same as the diagnosis of DM in other patients in the general population.