Guidelines for medical and pediatric complications after kidney transplantation

Abstract

Many medical complications, including hypertension, diabetes, and dyslipidemia, appear after kidney transplantation. These complications significantly affect the grafts and the patient survivals; thus the control of posttransplant medical complications is absolutely essential. Unfortunately, steroid and immunosuppressive agents induce or impair the medical complications, which are a special condition after kidney transplantation.
The Japanese Society of Clinical Renal Transplantation (JSCRT) has already published "Guidelines for medical and pediatric complications after kidney transplantation" in 2011. Earlier, in 2009, "KDIGO Clinical Practice Guidelines for Kidney Disease" for the care of kidney transplant patients was published in the American Journal of Transplantation. The contents of recommendations are not always the same between two guidelines. Referring to these two guidelines, the author summarized the points and problems and posttransplant hypertension, posttransplant diabetes, and post transplant dyslipidemia.