Figure 1217

Assessing the medical risks of transplantation surgery. Obesity increases the risks of surgery, and a weight reduction program before transplantation must be considered for very obese patients. Older age is a relative contraindication to transplantation; however, it is difficult to precisely define an upper age limit for all patients. Rather, age and overall medical condition must be considered together. Hypertension should be controlled before transplantation. When control of hypertension is difficult, bilateral nephrectomy should be considered before transplantation. BMI—body mass index. (From Kasiske and coworkers [1]; with permission.)

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