Timeline
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Haemodialysis | Peritoneal Dialysis | Transplantation | Renal Institutions | Physiology + Other |
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1550BC | Ebers papyrus; first description of peritoneal cavity | ||||
c500BC | Greeks and Romans recommended hot baths to sweat out toxins, and remove urea | Sushruta (Indian physician); developed plastic surgical transplant techniques for reconstructing noses, earlobes etc | Athansios Diamondopoulus; has summarised the early Greek history | ||
1527 | Paracelsus; added wine and vinegar to urine, and found that some urines curdle and produce a milky precipitate | ||||
1673 | Frederick Dekkers (Leiden); first described coagulability of urine on boiling | ||||
1722 | Theodore Zwinger III (Basel); one of first descriptions of nephrotic syndrome in his Paedoiatreia practica of 1722 | ||||
1743 | Christopher Warrick, Rev Stephen Hales (UK); peritoneal lavage for patient with ascites | ||||
1765 |
Domenico Cotugno (Naples); first described a 28 year old dropsical soldier with coagulable urine, fever and oedema Rosen von Rosenstein (Upsala, Sweden); noted that scarlatina could be followed by 'dropsy' (fluid overload) and bloody urine; first description of acute nephritis |
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1798 | Wiiliam Cruickshank (London); noted urine of some dropsical patients could be coagulated by nitrous acid or heat | ||||
1803 | John Bostock (London); quantified the amount of albumin in urine by evaporation | ||||
1806-11 | William Charles Wells (London); first systematic description of (78) cases of the dropsy and proteinuria; noting at autopsy, hard thick cortices in one patient, and abnormal large and soft kidneys in another | ||||
1813 | John Blackwell (Exeter); publihsed 'Observations on the Nature and Cure of Dropsies';describing various groups of patients with oedema and coagulable urine | ||||
1823 | Carl Bunger (Germany); first recorded transplant in 'modern' era; performed plastic surgery on woman's nose, grafting skin from her thigh | ||||
1827-1842 | Richard Bright (London); first to recognise that albuminuria in presence of oedema meant kidney disease; publishes his important book, 'Reports of Medical Cases' | ||||
1837 | Gabriel Valentin (Swiss-German); invented the double bladed knife, allowing the cutting of thin sections for examination (unstained) under microscopy; and described casts in the urine | ||||
1838 |
Pierre-Francois Olive Rayer (Paris); first described renal vein thrombosis, renal anaemia, and a classification system that distinguished acute nephritis, nephrotic syndrome and pyelonephritis; and introduced urine microscopy into medical practice |
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1842 | Carl Ludwig (Leipzig, Germany); first proposed that urine was filtered by the glomerulus and reabsorbed by the renal tubules | ||||
1851 | Friedrich von Frerichs (Germany); described various pathological changes seen in the evolution of one kidney disease | ||||
1853 |
- Gottlieb Gruges (Germany); published 'Atlas of Pathological Histology'; noted '"inflammatory globules" on renal microscopy, and concluded they represented inflammation of the Malpighian Bodies (glomeruli); ie described different types of glomerulonephritis |
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1854 | Thomas Graham (Glasgow); first described osmotic force | ||||
1855 | Adolf Fick (Germany); published quantitative description of diffusion | ||||
1858 | Heymann; described optic changes of accelerated hypertension | ||||
1860 | Jacob Henle (Germany); first observation of the loop arrangement of the medullary tubules (Loop of Henle) | ||||
1861 | Thomas Graham (Glasgow); process of dialysis first described | ||||
1862 | Friedrich Daniel von Recklinghausen (Würzburg/Strassburg); first described the peritoneum's cellular composition | ||||
1863 | Paul Bert (France); demonstrated that tissues transplanted from one person to another are rejected | ||||
1865 | Thomas Hillier (London); first cutaneous nephrostomy | ||||
1870 | Edwin Klebs; coined the phrase 'glomerulonephritis' | ||||
1872 | William Gull and Henry Sutton (London); hypertension ("arteriocapillary fibrosis") was the cause rather than the consequence of renal disease | ||||
1874 | Frederick Akbar Mahomed (London); published 'The Etiology of Bright's Dsease and the Prealbuminuric Stage'; ie, believed all cases of nephritis went through a prealbuminuric stage | ||||
1877 | Wegman; conducted experiments using peritoneal lavage in animals | ||||
1879 | Theodr Langhans; noted glomerular hypercellularity in glomerulonephritis | ||||
1880 | John Berry Haycraft (Birmingham/Edinburgh); first derived hirudin (an anticoagulant) from leeches | ||||
1881 | Eugen Hahn (Berlin); first renal biopsy as part of nephropexy | ||||
1883 | Rudolph Heidenheim (Breslau, Germany); concluded the principal urinary transport process was in the proximal tubule | ||||
1893 | Bartolomeo Gosio (Rome); discovered Mycophenolic acid (MPA); a fungal metabolite discovered as an antibiotic against anthrax bacillus, Bacillus anthracis | ||||
1894 | Leopold Casper (Berlin); first ureteric cystscope | ||||
1895 | Julius Dorfler (Germany); first developed full thickness blood vessel suturing technique | ||||
1896 | Mathieu Jaboulay and E Braiu (Lyon); further developed full thickness blood vessel suturing technique | ||||
1897 | Achard and Castaigne; first to develop a dye excretion test; noted that the excretion of injected methylene blue was delayed in patients with renal failure, but normal in other oedematous states | ||||
1898 | Robert Tigerstedt and Per Bergmann; isolated a pressor substance from the kindeys they called 'rennin' | ||||
1901 | Karl Landsteiner (Vienna); classifies blood type into three groups A, B and O; his colleagues adds a fourth AB | ||||
1902 | - Emerich Ullmann (Vienna); first experimental transplant (autotransplant in a dog), lasted 5 days. He then carried out the first xenotransplant (dog-to-goat), and first two human transplants (pig and goat to human), all unsucessful - Alexis Carrel (Lyon) and Charles Guthrie; further developed methods of joining blood vessels, making transplantation possible |
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1903 | Carl Jensen (Denmark); discovers that the immune system responsible for tissue rejection | ||||
1905 | M Princeteau (Bordeaux, France); inserted slices of rabbit kidney into a nephrotomy in a child | - Friedrich von Muller (Germany); a pathologist, introduced the term ‘Nephrosis’ - Fritz Voelcker and Alexander von Lichtenberg (Heidelberg, Germany); first retrograde pyeloigraphy; used colloidal silver but later found to be toxic |
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1906 | Mathieu Jaboulay (Lyon); xenotransplant of the left kidney of a pig into the left elbow of a woman | ||||
1910 | Ernst Unger (Berlin); implanted a pair of monkey kidneys into a human | Ambard (France); devleoped the 'Ambard Coefficent', a complex relationship between the blood and plasma urea, with a correction for urine flow | |||
1913 | John Abel, Leonard Rowntree, BB Turner (Baltimore, USA); first to describe in vivo haemodialysis of rabbits (removing salicylic acid), dogs (and later a 400 ml blood exchange in a human) with the first artificial kidney made of collodion and using hirudin anticoagulant | ||||
1914 | Franz Volhard and Theodor Fahr; in their famous monograph on Bright's Disease, noted that nephrosclerosis could run two courses; one 'benign', one 'malignant', subsequently renamed 'malignant hypertension' by Keith, Wagner and Kernohan (1928) | ||||
1916 |
Jay MacLean, William Henry Howell (Baltimore, USA); Jay Maclean, a second year medical student, first isolated the anti-coagulant heparin from dog livers |
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1923 | Heinrich Necheles (Hamburg); first flat plate dialyser; a 'sandwich' biological membrane consisting of calves' peritoneal membrane and dialyses dogs | George Ganter; first human peritoneal dialysis for renal failure | Harold Neuhof (Mount Sinai, New York); transplanted (unsuccessfully) a lamb kidney into a patient | - Norman Gywn (Toronto); first open renal biopsy - Rowntree; reported bthat iodinated dyes could be used for intravenous pyelography - Pauli; introduced magnetic resonance imaging |
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1924 | George Haas (Giessen, near Frankfurt); first human dialysis | ||||
1926-1934 | Harry Goldblatt; carried out his famous experiments that showed by clamping the renal artery, hypertension was induced | ||||
1927 | Antonio Egas Moniz (Lisbon); introduced cerebral arteriography, later used for renal arteries | ||||
1929 | - Reynaldo Cid dos Santos (Lisbon); first aortogram (including renal arteries) - Hounsfield; introduced computed tomography |
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1931 |
- Thomas Addis (Stamford, USA); published (with Jean Oliver) his classic 'The Renal Lesions in Bright's Disease'; first to standardise the technique for the quantitaive examination of the urinary sediment - the Addis Count; built on the work of Ambard (see 1910), using modifications of the urine/plasma urea ratio, a direct precursor to the urea clearance concept, as conceptualised by George Barnett in 1920 |
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1933 | Yuri Voronoy (Kherson, Ukraine); first human homograft (human- to-human; deceased donor) | ||||
1934 | Robert Ball (Tenneessee); first aspiration renal biopsy | ||||
1936 | Peter Gorer (UK); described the Major Histocompatibilty Complex (MHC) in the mouse | ||||
1937 | William Thalhimer (Baltimore, USA); used cellophane dialyser and heparin together | ||||
1938 | Wilhem Kolff; used in vitro dialysis to remove urea from blood | John Wear, Eli Sisk, AJ Trinkle (Wisconsin); first successful PD | |||
1940 | Gordon Murray (Toronto); used heparin for the first time in human patients | ||||
1940s | Thomas Addis (Stamford, USA); advocated using serum creatinine as a clinical indicator of renal function; about the same time as inulin clearance was introduced by Benjamin Miller | ||||
1941 | - Eric Bywaters and D Beall (Hammersmith, London); description of crush injury; one of first descriptions of AKI - Freeman S, Freeman WMC; Aluminium Hydroxide first used as phosphate binder in renal failure |
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1942 | Dussik; introduced renal ultrasonography | ||||
1943 | Wilhem Kolff and Hendrik Berk (Kampen, Netherlands); rotating drum dialyser, the first practical dialyser | Sir Peter Medawar, Tom Gibson (Glasgow); reports rejection of a transplant is based on immunological factors | |||
1944 | Nils Alwall (Lund, Sweden); first series of aspiration renal biopsies (published 1952) | ||||
1945 | Charles Hufnagel, Ernest Landsteiner, David Hume (Boston); first successful deceased donor transplant in a patient with AKI; performed outside recipient's body | ||||
1946 | - Gordon Murray (Dec '46, Toronto); first successful HD in N America - Nils Alwall (Lund, Sweden); first coil dialysers |
Howard Frank, Arnold Seligman, Jacob Fine (Boston); Ronald Reid (UK); Pierre Tanret (Paris); Kop (Netherlands); AKI treatment by PD | |||
1946-7 | Eric Bywaters and Adolf Marcus 'Jo' Joekes (Hammersmith, London); Michael Darmady (Portsmouth); first HD for AKI in UK | ||||
1947 | Russell Palmer (Sept '47, Vancouver); first successful HD in N America using Kolff dialyser | ||||
1948 |
- Nils Alwall (Lund, Sweden); developed AV shunt |
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1949 | Societe de Pathologie Renale founded; first nephrology society; first president Jean Hamburger; first meeting February 1949, Paris | Graham Bull (London/Belfast); principles of conservative care of AKI | |||
1940s, late | Nils Alwall (Lund, Sweden); first out-of-hospital dialysis centre | ||||
1950 | Richard Lawler (Chicago); first successful deceased donor transplant on a patient with CKD; performed within the body |
- Renal Association founded; UK society of nephrologists; first president Arthur Osman; second nephrology society; first meeting 30th March, London - Ada and Harry DeBold; founded the Committee for Nephrosis Research, which would become the National Nephrosis Foundation then later the US' NKF |
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1951 | Arthur Grollman (Dallas); used IPD in dogs |
- René Küss, Charles Dubost (Paris), Marceau Servelle (Strasbourg); first renal transplants in France; and first used the extraperitoneal renal transplantation procedure which is in common use today |
Poul Iversen and Claus Brun (Copenhagen); first series of percutaneous renal biopsies | ||
1952 |
- Paul Teschan (Walter Reed Army Medical Centre, Washington); using the Kolff-Brighma machine, he established the Renal Insufficiency Centre under the auspices of the US Army Surgical Research Team at the 11th Evacuation Hospital of the 8th Army, in Wonju, Korea; used 72 treatments on 31 soldiers with AKI. Previously 8/10 soldiers with post-traumatic AKI died |
- Gordon Murray (Toronto); first successful deceased donor transplant series |
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1954 | Joseph Murray, John Hartwell Harrison (surgeons, Boston), John Merrill (physician, Boston); 23th December; first successful living transplant in USA | Robert Kark and Robert Muehrcke (Chicago); refined percutaneous renal biopsy | |||
1955 | Bruno Watschinger and Wilhem Kolff; twin coil dialyser invented | - Charles Rob, William James 'Jim' Dempster (St Marys and Hammersmith, London); first deceased donor transplant in UK (unsuccessful) - Arthur Nobile; first synthesised Prednisolone |
American Society for Artificial Internal Organs (ASAIO) established |
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1956 | William B Graham and Wilhem Kolff (Kolff's “Orange Juice” kidney); first commercial dialysing machine made by Baxter Corporation, 'Baxter/Travenol recirculating U-200A twin coil dialyser'; available for sale on 30th Oct; machine cost $1,000; disposable artificial kidneys cost $53 each | ||||
1956-7 | Acute haemodialysis recommenced in the UK; first on 30th Sept 1956 in Leeds General Infirmary by (Frank Parsons, urologist); then Hammersmith, London (Wing Commander Sir Ralph Shackman) and RAF Halton (Group Captain Ralph Jackson, urologist), and Jo Joekes | ||||
1957 | Jean Dausett, Rose Payne, D Bernard Amos; discovery of First HLA Antigen, MAC (now known as HLA-A2) | - Società Italiana di Nefrologia founded; first society with nephrology in its name - Minerva Nefrologica; first journal devoted to nephrology |
- Leon Jacobson and Eugene Goldwasser (Chicago, USA); kidneys were identified as the major site of EPO production in the adult mammal |
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1958 | John Dossetor (Barrie, Ontario); Canada’s first successful kidney transplant between identical twins at the Royal Victoria Hospital, from Nora to Moira Johnson | ||||
1959
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- Morton Maxwell; multihole PD catheter |
- Gordon Murray (Toronto); first successful non-identical twin transplant |
Jean Hamburger (Paris); founded the Société de Néphrologie, as a continuation of the older society, the Société de Pathologie Rénale | ||
1960s, early | In the USA, an anonymous lay committee, or 'life-and-death committee', was established to decide which patients were worthy of treatment. Patient candidates were judged on their moral value, their position in the community, and their likelihood of continuing existence | ||||
1960 | - Belding Scribner, Wayne Quinton and David Dillard (Seattle, USA); AV shunt, making chronic dialysis possible. First shunt inserted on 9th March by David Dillard into Clyde Shields (died of cardiac disease in 1971); then Harvey Gentry (d1987); commencing maintenance HD for ESRD in Seattle - the first long-term dialysis patients, in first longterm unit in USA - Richard Stewart, Henry Mahon (Michigan); developed hollow fibre dialyser, which became wildly available in 1960 |
Fred Boen (Seattle); automated PD machine |
- René Kuss, Marcel Legrain (Paris); first successful living transplant between non related patients in France (January) |
- Founding of ISN - 'Premier Congrès International de Néphrologie' in Evian and Geneva; first meeting of the ISN; where the word 'nephrology' appeared for the first time at a conference (2-4th September) |
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1961 |
- Fred Kiil (Copenhagen); first cellulose flat plate dialyser; first dialyser that could be reassembled and used without blood pump |
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1962 | Wayne Quinton and Belding Scribner (Seattle, USA); Jan 8th, USA's first out-of-hospital dialysis centre; the Seattle Artificial Kidney Center, later renamed the Northwest Kidney Centers (NKC); at Swedish Hospital (Seattle) | - Roy Calne (London/Cambridge/Boston); Azathioprine introduced - First use of tissue matching to select a donor and recipient |
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1963 | Thomas Starzyl (Pittsburgh); first used Prednisolone and Azathioprine from the start of a transplant | Kleinfelder H (Wurzburg, Germany); furosemide, first loop diuretic synthesised; its original tradename 'Lasix' is derived from the phrase 'lasts six (hours)' | |||
1964 |
- Stanley Shaldon (London), Jo Eschbach, Belding Scribner (Seattle), John Merrill (Boston); home haemodialysis introduced (partly as a response to hepatitis B outbreaks) |
Russell Palmer, Wayne Quinton (Vancouver, Seattle); designed silicone catheter for chronic PD, providing continuous access into the peritoneum for first time |
- Johannes van Rood/Aad van Leeuwen (Leiden, Netherlands), Paul Terasaki (UCLA); used histocompatability testing (tissue typing using white blood cells) to select the most suitable donor-recipient combinations - Keith Reemtsma (New Orleans); kidney xenotransplant From chimpanzee kidney |
- National Kidney Foundation (NKF); formed from National Nephrosis Foundation - Stanley Shaldon (London), David Kerr (Newcastle) and Williamm Drukker (Amsterdam) founded the 'WEDA' (West European dialysis Association) a forerunner of the ERA-EDTA; and their first meeting was on Sept 24th in Amsterdam, with 210 delegates from 16 countries |
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1965 |
- Richard Freeman, John Maher, George Schriener (Washington DC); described complications of HD, including hepatitis B |
Raymon Weston, Martin Roberts (Los Angeles); Stylet catheter (Trocath) introduced | |||
1966 | James Brescia, Michael Cimino, Kenneth Appel (New York); internal AV fistula developed | Norman Lasker (New Jersey); automated PD machine called the 'Peritoneal Cycler', a gravity-fed system | William D Kelly and Richard C Lillehei (Minnesota); first kidney-pancreas transplant on a 28 year olf woman diagnosed with Type 1 Diabetes aged 9 years | - American Society of Nephrology (ASN) founded; US society of nephrologists; first president Neal S Bricker - First informal meeting of (100) nephrology nurses in US; at Peter Bent Brigham Hospital |
John Moorhead (London); UK's first consultant nephrologist appointed |
1967 | - Lee Henderson (Philadelphia); haemofiltration | First annual meeting of ASN, Los Angeles, 18-19th October | |||
1968 | Henry Tenckhoff (Seattle); the PD catheter that bears his name is based on Palmer and Quinton catheter of 1964 |
- Southeast Organ Procurement Foundation (SEOPF) formed; first organ procurement and distribution programme |
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1969 | GM Collins (Los Angeles); developed renal transplant preservation solution | ||||
1971 |
Hillard Festenstein (London); multicentre collaboration in tissue-typing to match kidneys for transplantation |
- Kidney donor cards introduced in the UK |
- Eric Lawson, Williams DH (Cambridge); calcitriol discovered |
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1972 |
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- British Transplant Society (BTS); founded by John Hopewell and Leslie Brent. First meeting 12th April 1972 (London) - Kidney donor cards introduced in USA - Geoffrey Tovey (Bristol); National Organ Matching and Distribution Service (NOMDS) founded, later to become part of UK Transplant Service - National Kidney Foundation, nephrologist George Schreiner (Washington, USA), and other physicians were lobbying Congress; leading to the passage of House Resolution 1 in November 1972 and the eventual demise of the 'infamous 'life-and-death' committee |
Alan Alfrey (Colorado); dialysis encephalopathy described | ||
1973 | Congress passed the bill establishing the Medicare ESRD Program; provided access to treatment for nearly all patients in the USA (as long as they or a family member had paid into the Medicare system) | ||||
1974 |
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Frederick Merkel, John Bergen (Northwestern University), Aaron Bannett (Albert Einstein Medical Center); founded the American Society of Transplant Surgeons (ASTS) | |||
1975 | Sirolimus discovered on Rapa Nui (Easter Island) | British Patient Kidney Association (BKPA) founded by Elizabeth Ward; first UK kidney patient charity | Eva Dubovsky (Birmingham, Alabama, USA); introduced nuclear medicine scans, mainly for hypertension and transplantation | ||
1976 | Jack Moncrief and Robert Popovich (Austin, Texas); CAPD described; published in abstract form | UK brain death guidelines facilitate retrieval from heart-beating cadaveric donors |
- Donald Cockcoft, Henry Gault (Newfoundland); prediction of creatinine clearance from serum creatinine |
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1977 | SEOPF implements the first computer-based organ matching system, the "United Network for Organ Sharing" | ||||
1978 |
Dimitrios Oreopolous (Toronto); PVC bags |
- Roy Calne (Cambridge); Ciclosporin introduced |
- National Kidney Federation (UK Patient Charity) formed; co-ordinating local Kidney Patient Associations (KPAs) - First UK Transplant Games were held in Portsmouth; the idea of Consultant Surgeon, Maurice Slapak CBE |
Tomas Berl (Denver); calcitriol introduced |
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1979 |
Kramer P (Goettingen, German); continuous arteriovenous haemofiltration |
Karl Nolph (Missouri); light titanium connector |
Kung; first produced mouse monoclonal antibodies against T cell surface receptor antigens using hybridoma technology (including OKT3) |
- UK Transplant Service formed (from NTTRL and NOMDS) - PROTON (first UK renal database) introduced by Hugh de Wardener (London), Robert Sells (Liverpool) and Martin Knapp (Nottingham) |
Assenat H, Charra B; dialysis-related amyloidosis described |
1981 | - Umberto Buoncristiani (Perugia); 'flush before fill' Y-system - José Diaz-Buxo; CCPD (APD) |
UK kidney donor card changed to multi-organ card including kidneys, corneas, heart, liver, and pancreas |
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1982 |
- SEOPF establishes the Kidney Center, the predecessor of the UNOS Organ Center |
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1984 | Kino T (Ibaraki, Japan); Tacrolimus discovered | - US National Organ Transplant Act (NOTA) passed - The United Network for Organ Sharing (UNOS) separates from SEOPF and is a non-profit member organisation |
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1985 | Lin FK and Jacobs (Chicago); isolated the human erythropoietin gene | ||||
1986 | James Southard and Folkert Belzer (University of Wisconsin); developed UW preservation solution | Chris Winearls (Oxford); recombinant human erythropoietin effective in HD patients | |||
1987 | Zbylut Twardowski (Missouri); PET | Kino T (Ibaraki, Japan); Tacrolimus introduced | Jo Eschbach (Seattle); Phase I and II trial of erythropoietin in HD patients | ||
1988 | US Renal Data System established | ||||
1989 |
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(UK) Human Organ Transplant (HOT) Act passed; making any commercial dealing in human organs for transplant a criminal offence | |||
1991 | UK Transplant Service becomes Special Health Authority and is renamed United Kingdom Transplant Support Service Authority (UKTSSA) | ||||
1994 |
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NHS Organ Donor Register established |
Saulo Klahr (St Louis); Modification of Diet in Renal Disease (MDRD) published; showed no evidence that low protein diet slows progression of CKD | ||
1995 |
- Llyod Ratner and Louis Kavoussi (Baltimore, USA); first successful laparoscopic live donor nephrectomy - Kota Takahashi (Niigata, Japan); Mycophenolate introduced |
- The current name of ERA-EDTA was first used, having been WEDA. EDTA, then EDTA-ERA |
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1997 | UK Renal Association 2nd Standards Document | ||||
1996 | Maria Murgia (Houston); Sirolimus introduced | - 'First annual report' of Renal Registry; in March, of the two year pilot; initially with 4 units - Netar Mallick, David Kerr and Stewart Cameron; DoH's Renal Review of England and Wales |
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1998 | Tanabe K (Tokyo); first plasmapharesis for ABO incompatible transplant | September. First (first non-pilot) annual report of UK's Renal Registry; 9 units) | |||
2000 | Gorodner V (Illinois, USA); first successful robotic living donor nephrectomy | UK Transplant takes over from UKTSSA (July) | |||
2001 | First year when number of living renal transplants exceeds deceased donor transplants in USA | ||||
2002 | UK Renal Association 3rd Standards Document | ||||
2003 | - Josef Coresh; K/DOQI guidelines re classiification of CKD using eGFR - Kidney Disease Improving Global Outcomes (KDIGO) established |
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2004 |
- (UK) Human Tissue Act (HTA) passed |
Rinaldo Bellomo (Heidelberg, Australia); RIFLE classification of AKI | |||
2005 | NHS Blood and Transplant formed on 1st October; through merger of UK Transplant with the National Blood Service and Bio Products Laboratory | ||||
2007 | UK's first living donor paired and alturistic renal transplants (July) |
- UK Renal Registry achieves full coverage |
KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease published |
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2008 | UK Transplant part of NHS Blood and Transplant renamed Directorate of Organ Donation & Transplantation | ||||
2009 | Mohamad Allaf (Baltimore, USA); donor kidney first removed through vagina | ||||
2016 |