Publications by authors named "A J Ekstrand"

Cytomegalovirus (CMV) infections remain a common problem after solid-organ transplantation. We characterized the burden of CMV infections, and adverse events of CMV prophylaxis after simultaneous pancreas-kidney transplantation (SPK). We included all SPK patients ( = 236) since 2010 in our country.

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Background: Kidney living donation carries risks, yet standardized information provision regarding nephrectomy risks and psychological impacts for candidates remains lacking.

Objective: This study assesses the benefit of interactive health technology in improving the informed consent process for kidney living donation.

Methods: The Kidney Hub institutional open portal offers comprehensive information on kidney disease and donation.

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The total burden of infections after transplantation has not been compared in detail between recipients of simultaneous pancreas-kidney transplantation (SPK) and kidney transplantation alone (KTA). We compared infection-related hospitalizations and bacteremias after transplantation during 1- and 5-year follow-up among 162 patients undergoing SPK. The control group consisted of 153 type 1 diabetics undergoing KTA with the inclusion criteria of donor and recipient age < 60, and BMI < 30.

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Article Synopsis
  • Peritoneal dialysis is recommended as a first-line treatment for kidney replacement, especially for vulnerable patients, but it often requires assistance that can involve family or specialized caregivers in institutional settings.
  • A group of nephrologists from 13 European countries shared their insights on implementing assisted peritoneal dialysis, discussing the challenges and solutions that can help establish effective programs.
  • The findings indicate that assisted peritoneal dialysis isn't a fixed approach and can be tailored to individual needs, allowing for flexible care options that can ultimately lead to greater patient autonomy.
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Introduction: Simultaneous pancreas-kidney transplantation (SPK) is an option for patients with type 1 diabetes (T1D) and kidney failure but can be associated with a high complication rate. Here we describe our 10-year experience since the launch of the SPK program.

Methods: This retrospective study included consecutive patients with T1D receiving SPK from March 14, 2010 to March 14, 2020 at Helsinki University Hospital.

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