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Transplant Candidacy Cancer — ESENeph MCQ

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HardTransplantationTransplant Candidacy CancerESENeph

A 65-year-old man with CKD G4 (eGFR 22 mL/min/1.73m2) is referred for consideration of kidney transplantation. He had a bladder cancer (pT1 high-grade) treated with TURBT and BCG 3 years ago. According to KDIGO 2020 transplant candidate guideline, what is the recommended waiting time after cancer treatment before transplant listing?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — At least 2 years cancer-free (potentially up to 5 years depending on risk)

KDIGO 2020 transplant candidacy guideline recommends a cancer-free waiting period before transplant listing, with duration dependent on cancer type, stage, and recurrence risk. For bladder cancer (non-muscle invasive, high grade), a minimum 2-year cancer-free interval is suggested, with some centres recommending up to 5 years given the high recurrence rate of high-grade pT1 bladder cancer. Individual risk assessment is essential.

Reference: KDIGO 2020 – Evaluation and Management of Candidates for Kidney Transplantation