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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
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Abstract titles should be brief and reflect the content of the abstract.
Limited information is available regarding the impact of shared decision-making (SDM) in selecting renal replacement therapy on the clinical characteristics of living-donor kidney transplantation.
In 2019, our institution established a shared decision-making outpatient clinic (SDM clinic) for renal replacement therapy selection. We analyzed 65 cases of living-donor kidney transplantation performed between 2010 and 2025, dividing them into two groups: pre-SDM (2010–2018, n=25) and post-SDM (2019–2025, n=40). We compared donor and recipient clinical characteristics and transplantation-related factors such as ABO-incompatible kidney transplantation (ABOi-KT), the frequency of preemptive kidney transplantation (PEKT), and, among PEKT cases, estimated glomerular filtration rate (eGFR) at the start of evaluation and preoperatively, as well as the rate of preoperative dialysis.
Compared with the pre-SDM group, the post-SDM group had older donors (median age [IQR]: 55.0 [44.5–60.0] vs. 62.0 [52.3–68.0] years, P<0.05) and a higher frequency of ABOi-KT (4.0% vs. 37.5%, P<0.05). Although the overall frequency of PEKT did not significantly differ between groups, among PEKT cases, both the initial and preoperative eGFR levels were significantly higher in the post-SDM group (initial: 7.4 [6.0–8.4] vs. 11.4 [9.2–13.8] mL/min/1.73m², P<0.05; preoperative: 5.0 [4.2–6.9] vs. 8.7 [6.3–10.6] mL/min/1.73m², P<0.01), and the rate of preoperative hemodialysis was significantly lower (54.6% vs. 20.0%, P<0.05). No significant differences were observed in the frequency of post-transplant complications or graft survival between groups.
The implementation of SDM in selecting renal replacement therapy appears to expand the indications for kidney transplantation, including the acceptance of older donors and ABO-incompatible transplants. In PEKT cases, SDM facilitates safer and more structured transplantation through earlier evaluation.
