1 g/kg per day) and high dietary sodium intake (>4 grams/d), adequate dietary fiber intake from plant-based foods, a target body mass index of " />
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Tantisattamo E, Dafoe DC, Reddy UG, et al. Current Management of Patients With Acquired Solitary Kidney. Kidney Int Rep. 2019;4(9):1205-1218doi: 10.1016/j.ekir.2019.07.001.
Tantisattamo, E., Dafoe, D. C., Reddy, U. G., Ichii, H., Rhee, C. M., Streja, E., Landman, J., & Kalantar-Zadeh, K. (2019). Current Management of Patients With Acquired Solitary Kidney. Kidney international reports, 4(9), 1205-1218. https://doi.org/10.1016/j.ekir.2019.07.001
Tantisattamo, Ekamol, et al. "Current Management of Patients With Acquired Solitary Kidney." Kidney international reports vol. 4,9 (2019): 1205-1218. doi: https://doi.org/10.1016/j.ekir.2019.07.001
Tantisattamo E, Dafoe DC, Reddy UG, Ichii H, Rhee CM, Streja E, Landman J, Kalantar-Zadeh K. Current Management of Patients With Acquired Solitary Kidney. Kidney Int Rep. 2019 Jul 11;4(9):1205-1218. doi: 10.1016/j.ekir.2019.07.001. eCollection 2019 Sep. PMID: 31517140; PMCID: PMC6732776.
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Kidney Int Rep. 2019 Jul 11;4(9):1205-1218. doi: 10.1016/j.ekir.2019.07.001. eCollection 2019 Sep.

Current Management of Patients With Acquired Solitary Kidney.

Kidney international reports

Ekamol Tantisattamo, Donald C Dafoe, Uttam G Reddy, Hirohito Ichii, Connie M Rhee, Elani Streja, Jaime Landman, Kamyar Kalantar-Zadeh

Affiliations

  1. Harold Simmons Center for Kidney Disease Research and Epidemiology, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
  2. Nephrology Section, Department of Medicine, Veterans Affairs Long Beach Healthcare System, Long Beach, California, USA.
  3. Multi-Organ Transplant Center, Section of Nephrology, Department of Internal Medicine, William Beaumont Hospital, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, USA.
  4. Division of Kidney and Pancreas Transplantation, Department of Surgery, University of California Irvine School of Medicine, Orange, California, USA.
  5. Department of Urology, University of California Irvine School of Medicine, Orange, California, USA.
  6. Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California, USA.

PMID: 31517140 PMCID: PMC6732776 DOI: 10.1016/j.ekir.2019.07.001

Abstract

Persons with acquired solitary kidney, including those who have had a unilateral nephrectomy for living kidney donation, renal malignancies, or trauma, have decreased renal mass that leads to increased intraglomerular pressure and glomerular hyperfiltration. These physiologic adaptations of solitary kidney may exacerbate other preexisting and genetic conditions that could create a predisposition to or worsen glomerular pathologies, leading to unfavorable renal outcomes. Hence, these persons may benefit from special care and lifestyle modifications, including nutritional interventions. There is a lack of consensus and evidence for proper surveillance and management after nephrectomy, and misconceptions in both directions of having a "normal" versus "abnormal" kidney status may cause confusion among patients and healthcare providers pertaining to long-term kidney health monitoring and management. We have reviewed available data on the impact of lifestyle modifications, particularly nutritional measures, and pharmacologic interventions, on short- and long-term outcomes after nephrectomy. We recommend avoidance of excessively high dietary protein intake (>1 g/kg per day) and high dietary sodium intake (>4 grams/d), adequate dietary fiber intake from plant-based foods, a target body mass index of <30 kg/m

Keywords: chronic kidney disease; dietary management; living donor renal transplantation; nephrectomy; proteinuria; solitary kidney

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