Is it possible to turn unusable organs into transplantable organs? Ex vivo pulsatile machine perfusion of donor organs is a proven technique for superior organ preservation, reduced delayed graft function, and reduced ischemia-reperfusion injury. This has been the standard of care for over four decades in high-volume transplant centers.

Children with focal segmental glomerulosclerosis (FSGS) who undergo kidney transplantation are at high risk of recurrent disease and allograft failure. A new study provides insights into long-term posttransplant survival for this group of patients.

Treatment with angiotensin-converting enzyme (ACE) inhibitors, statins, or both does not affect albumin excretion in adolescents with type 1 diabetes, concludes a trial in The New England Journal of Medicine.

Most dialysis in the developed world occurs as three sessions per week, typically about 4 hours per session. This provides us with fairly dismal outcomes—yes, we keep people alive for a period of time (hopefully for some, until they are transplanted)—but our outcomes are worse than breast cancer. It is not enough to claim that there have been improvements; we still have a long way to go.

Mark D. Okusa, MD, FASN

Exercise during dialysis reduces the length of stay for subsequent hospitalizations by three days, according to a recent study.