Kidney Transplantation Handbook 2027

Protecting the graft means caring for the whole patient.

The work of kidney transplantation begins before a donor is selected and continues through years of surveillance, medication decisions, and changing health needs. Each stage brings a different question: Is transplantation appropriate? Which risks need attention? What might explain a change in graft function? How should ongoing care account for both rejection and treatment-related harm?

Kidney Transplantation Handbook 2027 brings these responsibilities into a clinical reference covering candidate evaluation, donor selection, immunosuppression, rejection, infection, surgical complications, graft dysfunction, and long-term follow-up.

Its coverage supports focused review of:

• Recipient and donor assessment: the clinical considerations behind suitability, selection, and preparation for transplantation.

• Immunosuppression and rejection: the relationship between graft protection, treatment burden, and the evaluation of possible immune-mediated injury.

• Infection after transplantation: the concerns that arise when infection risk and immunosuppressive treatment must be considered together.

• Surgical complications and graft dysfunction: the need to distinguish potential causes of deterioration and understand their implications for further assessment.

• Continuing follow-up: monitoring graft function while keeping the recipient's broader health and ongoing care needs in view.

For nephrology trainees, transplant clinicians, and healthcare professionals developing their understanding of transplant care, the handbook offers a way to review medical and surgical concerns within the same clinical context.

The focus remains on the recipient throughout: the person being assessed, recovering from surgery, adapting to treatment, and returning for care over time.

Use each follow-up review to consider graft function, treatment burden, and the recipient's longer-term health together.