What is the role of kidney transplantation in CKD management, and what is a typical prerequisite?

• A. Simple remedy; no prerequisites
• B. Potential cure; requires evaluation for compatibility and immunosuppression
• C. Only palliative measure
• D. Not used in CKD

Answer: (B)

Kidney transplantation can restore kidney function and improve survival and quality of life for eligible patients with advanced CKD, but it isn’t a quick fix. A key prerequisite is a thorough pretransplant evaluation to determine eligibility and ensure donor compatibility, along with planning lifelong immunosuppression to prevent rejection. This includes ABO and HLA matching, crossmatching, infectious disease and cancer screening, and assessments of the patient’s ability to adhere to complex post-transplant care. Transplantation is not just a simple remedy with no prerequisites, nor is it only palliative or unused in CKD; the best answer reflects its potential to cure function insofar as a suitable, compatible transplant can be obtained and maintained with immunosuppression.