Multidisciplinary perspectives on cardiac assessment before kidney transplantation: Results from a UK survey

摘要: Screening patients for asymptomatic coronary artery disease prior to kidney transplantation is frequently performed, despite an absence of contemporary randomized controlled trial evidence to support this practice and a lack of clarity regarding how it determines patients’ cardiac risk. Analysis of observational data does not support routine screening, 1 and coronary revascularization does not improve outcomes in transplant-listed patients with underlying coronary artery disease, 2 as in the general population. Cardiac assessment pathways vary across the United Kingdom, 3 but it is not known how these practices are viewed by the transplant multidisciplinary team. To explore this, an online survey was distributed to nephrologists, transplant surgeons, anesthetists, and cardiologists in the United Kingdom between April and July 2023. Study data were collected and managed using REDCap electronic data capture …