A variety of models developed  as dialysis and transplantation, usually starting  separately, coalesced gradually into integrated RRT services.

In some centres the main academic thrust was with transplant surgery, and typical academic transplant surgeons in the early years were not lacking in conviction or confidence. In some such units the nephrologists   had less urge for the limelight and were willing to provide an excellent clinical service in support of transplantation as well as for the many untransplantable patients. Two such notable examples were Oxford were from 1973 Professor (later Sir) Peter Morris led transplant surgery, and Des Oliver was the nephrologist; and Cambridge where from 1965 Professor (later Sir) Roy Calne led transplant surgery and David Evans was the nephrologist.

In other centres both nephrology and transplant leaders were academics, neither  lacking confidence or conviction,  which could bring sparks.

In other centres nephrologists were more clearly the leaders, and transplant surgeons were willing to provide a more technical rather than intellectual contribution.

Last Updated on September 26, 2024 by John Feehally