1.4. Pre-emptive kidney transplant

A pre-emptive kidney transplant (before kidney function deteriorates to the point of needing dialysis) should be offered to all candidates for transplantation who have a potential live donor. Earlier kidney transplants from a cadaveric donor can be offered to all potential recipients, but of particular importance are for children and patients with diabetes mellitus. To do the preemptive kidney transplantation, two conditions must be fulfilled: the patient must have irreversible and progressive renal impairment and the creatinine clearance must be less than 15 ml/min. Numerous studies have shown that survival of patients and calves after pre-emptive kidney transplantation was the same or even better than the transplantation done after the dialysis began [2].
