When do you recommend genetic testing prior to kidney transplantation for a patient with ESKD secondary to FSGS?  

This is a very important question especially as the cost of genetic testing is now much more affordable with commercially available kit. Genetic FSGS carries a much more favorable prognosis post transplant as recurrence would be very unlikely (with very rare exceptions). We would advise this I situa...

Agree with Dr Ong's assessment. If a transplant candidate has clear evidence of secondary causes of FSGS (weight-based, medications, infections, autoimmune) and biopsy showed only patchy podocyte effacement, then I do not think the genetic testing would add much. The post-transplant monitoring presu...