Viejo Boyano, IrisCheca Ros, AnaLópez Romero, Luis CarlosD'Marco Gascón, Luis GerardoPeris Fernández, MaríaGarrigós Almerich, EnriqueRamos Tomás, María CarmenPeris Domingo, AnaHernández Jaras, JulioProducción Científica UCH 2023UCH. Departamento de Medicina y CirugíaGrupo de "Investigación de Enfermedades Cardiorenales y Metabólicas" (IDECAM)2024-09-162024-09-162023-06-15Viejo-Boyano, I., López-Romero, L.C., D'Marco, L., Checa-Ros, A., Peris-Fernández, M., Garrigós-Almerich, E., Ramos-Tomás, M.C., Peris-Domingo, A. & Hernández-Jaras, J. (2023). Role of the Nephrologist in Non-Kidney Solid Organ Transplant (NKSOT). Healthcare, vol. 11, i. 12, art. 1760 (15 jun.). DOI: https://doi.org/10.3390/healthcare111217602227-9032 (Electrónico)http://hdl.handle.net/10637/16170Este artículo pertenece al número especial "Exploring the Link between Cardiorenal and Metabolic Diseases".Background: Chronic kidney disease (CKD) is a common complication of a non-kidney solid organ transplant (NKSOT). Identifying predisposing factors is crucial for an early approach and correct referral to nephrology. Methods: This is a single-center retrospective observational study of a cohort of CKD patients under follow-up in the Nephrology Department between 2010 to 2020. Statistical analysis was performed between all the risk factors and four dependent variables: end-stage renal disease (ESKD); increased serum creatinine ≥50%; renal replacement therapy (RRT); and death in the pre-transplant, peri-transplant, and post-transplant periods. Results: 74 patients were studied (7 heart transplants, 34 liver transplants, and 33 lung transplants). Patients who were not followed-up by a nephrologist in the pre-transplant (p < 0.027) or peri-transplant (p < 0.046) periods and those who had the longest time until an outpatient clinic follow-up (HR 1.032) were associated with a higher risk of creatinine increase ≥50%. Receiving a lung transplant conferred a higher risk than a liver or heart transplant for developing a creatinine increase ≥50% and ESKD. Peri-transplant mechanical ventilation, peri-transplant and post-transplant anticalcineurin overdose, nephrotoxicity, and the number of hospital admissions were significantly associated with a creatinine increase ≥50% and developing ESKD. Conclusions: Early and close follow-up by a nephrologist was associated with a decrease in the worsening of renal function.enopen accessNefrologíaNephrologyAparato urinarioUrinary systemEnfermedadDiseasesTrasplante de órganosOrgan transplantationArtículohttps://doi.org/10.3390/healthcare11121760https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es