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Planning for a Kidney Transplant
Is My Doctor Listening?
Donald A. Brand, PhD;
Alan S. Kliger, MD
JAMA. 1999;282:691-694.
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INTRODUCTION
This article grew out of the personal experiences of the lead author. The article uses the first-person singular to communicate about those experiences, but the work reported here was a joint effort.—ED.
In the spring of 1992, 5 years after learning that I had polycystic kidney disease, I met with the transplant team at the University of Minnesota to discuss my illness and future treatment options. I was 46 years old. At 25% to 30% of normal, my renal function was still more than adequate to sustain life (serum creatinine level, 256.4 µmol/L [2.9 mg/dL]),1 but I wanted to make plans well in advance of reaching end-stage renal failure.
When I explained to my wife, Catherine, that a kidney could be transplanted from a living donor who was not a blood relative, she volunteered to be tested. We soon learned that . . . [Full Text of this Article]
A DECISION ANALYSIS
What Is Decision Analysis? The Timing Decision Tree Structure Computational Method Utilities Results
A CASE OF CROSSED SIGNALS
Divergent Frames of Reference Crude Measurements
Uncrossing the Signals
Author Affiliations: Center for Primary Care Education and Research and Department of Medicine, New York Medical College, Valhalla (Dr Brand), and Department of Medicine, Yale University School of Medicine, New Haven, Conn (Dr Kliger).
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ABSTRACT
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