Selected Publications

Academic Article

Year Title Altmetric
2022 Employment status at transplant influences ethnic disparities in outcomes after deceased donor kidney transplantationBMC Nephrology.  23. 2022
2022 Existing Transplant Nephrology Compensation Models and Opportunities for Equitable PayClinical Journal of the American Society of Nephrology.  17:1407-1409. 2022
2022 The Importance of Transplant Nephrology to a Successful Kidney Transplant ProgramClinical Journal of the American Society of Nephrology.  17:1403-1406. 2022
2022 Risk Prediction for Delayed Allograft Function: Analysis of the Deterioration of Kidney Allograft Function (DeKAF) Study DataTransplantation.  106:358-368. 2022
2021 i-IFTA and chronic active T cell–mediated rejection: A tale of 2 (DeKAF) cohortsAmerican Journal of Transplantation.  21:1866-1877. 2021
2021 Thirty Years of Tacrolimus in Clinical PracticeTransplantation.  105:484-495. 2021
2021 Impact of Subclinical Borderline Inflammation on Kidney Transplant OutcomesTransplantation Direct.  7:E663. 2021
2020 Inflammation in areas of fibrosis: The DeKAF prospective cohortAmerican Journal of Transplantation.  20:2509-2521. 2020
2020 Genome-wide association study for time to failure of kidney transplants from African American deceased donorsClinical Transplantation.  34. 2020
2020 Transplant physician and surgeon compensation: A sample framework accounting for nonbillable and value-based workAmerican Journal of Transplantation.  20:641-652. 2020
2020 Late Graft Loss after Kidney Transplantation: Is "death with Function" Really Death with a Functioning Allograft?Transplantation.  1483-1490. 2020
2020 Redefining the Influence of Ethnicity on Simultaneous Kidney and Pancreas Transplantation Outcomes: A 15-year Single-center ExperienceAnnals of Surgery.  271:177-183. 2020
2019 Tacrolimus troughs and genetic determinants of metabolism in kidney transplant recipients: A comparison of four ancestry groupsAmerican Journal of Transplantation.  19:2795-2804. 2019
2019 Identification of genetic variants associated with tacrolimus metabolism in kidney transplant recipients by extreme phenotype sampling and next generation sequencing 2019
2019 The impact of donor and recipient common clinical and genetic variation on estimated glomerular filtration rate in a European renal transplant populationAmerican Journal of Transplantation.  19:2262-2273. 2019
2019 Variation in use of procurement biopsies and its implications for discard of deceased donor kidneys recovered for transplantationAmerican Journal of Transplantation.  19:2241-2251. 2019
2019 Time for reform in transplant program–specific reporting: AST/ASTS transplant metrics taskforceAmerican Journal of Transplantation.  19:1888-1895. 2019
2019 Long-term follow-up of the DeKAF cross-sectional cohort studyAmerican Journal of Transplantation.  19:1432-1443. 2019
2019 Chronic dialysis in patients with end-stage renal disease: Relevance to kidney xenotransplantationXenotransplantation.  26. 2019
2019 Allograft and patient survival after sequential HSCT and kidney transplantation from the same donor—A multicenter analysisAmerican Journal of Transplantation.  19:475-487. 2019
2018 Population Health, Ethnicity, and Rate of Living Donor Kidney TransplantationTransplantation.  102:2080-2087. 2018
2018 Apolipoprotein L1 and Chronic Kidney Disease Risk in Young Potential Living Kidney DonorsAnnals of Surgery.  267:1161-1168. 2018
2018 Expanding clarity or confusion? Volatility of the 5-tier ratings assessing quality of transplant centers in the United StatesAmerican Journal of Transplantation.  18:1494-1501. 2018
2018 Late graft failure after kidney transplantation as the consequence of late versus early eventsAmerican Journal of Transplantation.  18:1158-1167. 2018
2018 Xenotransplantation - The current status and prospectsBritish Medical Bulletin.  125:5-14. 2018
2017 Effect of Replacing Race With Apolipoprotein L1 Genotype in Calculation of Kidney Donor Risk IndexAmerican Journal of Transplantation.  17:1540-1548. 2017
2017 Obesity increases the risk of end-stage renal disease among living kidney donorsKidney International.  91:699-703. 2017
2017 Access to kidney transplantation among HIV-infected waitlist candidatesClinical Journal of the American Society of Nephrology.  12:467-475. 2017
2017 Cost-effectiveness of antibody-based induction therapy in deceased donor kidney transplantation in the United StatesTransplantation.  101:1234-1241. 2017
2016 APOL1 genotype and kidney transplantation outcomes from deceased african American donorsTransplantation.  100:194-202. 2016
2015 Moving beyond minimization trials in kidney transplantationJournal of the American Society of Nephrology.  26:2898-2901. 2015
2015 Medical management of chronic kidney disease in the renal transplant recipientCurrent Opinion in Nephrology and Hypertension.  24:587-593. 2015
2015 Deceased donor multidrug resistance protein 1 and caveolin 1 gene variants may influence allograft survival in kidney transplantationKidney International.  88:584-592. 2015
2015 Apolipoprotein L1 gene variants in deceased organ donors are associated with renal allograft failureAmerican Journal of Transplantation.  15:1615-1622. 2015
2015 Reassessing medical risk in living kidney donorsJournal of the American Society of Nephrology.  26:1017-1019. 2015
2015 Identification of strategies to facilitate organ donation among african americans using the nominal group techniqueClinical Journal of the American Society of Nephrology.  10:286-293. 2015
2015 Through a glass darkly: Seeking clarity in preventing late kidney transplant failureJournal of the American Society of Nephrology.  26:20-29. 2015
2014 Kidneys at higher risk of discard: Expanding the role of dual kidney transplantationAmerican Journal of Transplantation.  14:404-415. 2014
2014 Kidney donors at increased risk? Additional studies are neededKidney International.  86:650. 2014
2014 The high cost of organ transplant commercialismKidney International.  86:858-859. 2014
2013 Future of medicare immunosuppressive drug coverage for kidney transplant recipients in the United StatesClinical Journal of the American Society of Nephrology.  8:1258-1266. 2013
2012 Erratum: A realistic proposal-incentives may increase donation - We need trials now! (American Journal of Transplantation (2012) 12 (1957-1958) DOI:10.1111/j.1600-6143.2012.04117.x)American Journal of Transplantation.  12:2261. 2012
2012 Report of a consensus conference on transplant program quality and surveillanceAmerican Journal of Transplantation.  12:1988-1996. 2012
2012 The APOL1 genotype of African American kidney transplant recipients does not impact 5-year allograft survivalAmerican Journal of Transplantation.  12:1924-1928. 2012
2012 Review of cytomegalovirus infection findings with mammalian target of rapamycin inhibitor-based immunosuppressive therapy in de novo renal transplant recipientsTransplantation.  93:1075-1085. 2012
2012 Counseling patients for kidney transplantation: Awkward conversations?American Journal of Transplantation.  12:273-274. 2012
2012 A realistic proposal - Incentives may increase donation - We need trials now!American Journal of Transplantation.  12:1957-1958. 2012
2011 Our evolving understanding of late kidney allograft failureCurrent Opinion in Organ Transplantation.  16:594-599. 2011
2011 The PROMISE study: A phase 2b multicenter study of voclosporin (ISA247) versus tacrolimus in de Novo kidney transplantationAmerican Journal of Transplantation.  11:2675-2684. 2011
2011 Advances in kidney transplant immunosuppression: Emerging biologicsDialysis and Transplantation.  40:30-32. 2011
2011 Prevention of cardiovascular disease in adult recipients of kidney transplants 2011
2011 Therapeutic drug monitoring of mycophenolates in kidney transplantation: Report of The Transplantation Society consensus meetingTransplantation Reviews.  25:58-64. 2011
2010 Living donor nephrectomy: Understanding long-term risk in minority populationsAmerican Journal of Transplantation.  10:2574-2576. 2010
2010 Optimal cutoff point for immunoperoxidase detection of C4d in the renal allograft: Results from a multicenter studyTransplantation.  90:1099-1105. 2010
2010 Inflammation in areas of tubular atrophy in kidney allograft biopsies: A potent predictor of allograft failureAmerican Journal of Transplantation.  10:2066-2073. 2010
2010 Evidence for antibody-mediated injury as a Major determinant of late kidney allograft failureTransplantation.  90:68-74. 2010
2010 Optimizing medication adherence: An ongoing opportunity to improve outcomes after kidney transplantationClinical Journal of the American Society of Nephrology.  5:1305-1311. 2010
2010 Histopathologic clusters differentiate subgroups within the nonspecific diagnoses of CAN or CR: Preliminary data from the DeKAF studyAmerican Journal of Transplantation.  10:315-323. 2010
2010 Pathological and clinical characterization of the 'Troubled transplant': Data from the DeKAF studyAmerican Journal of Transplantation.  10:324-330. 2010
2010 Mycophenolic acid exposure in high-and low-weight renal transplant patients after dosing with mycophenolate mofetil in the opticept trialTherapeutic Drug Monitoring.  32:224-227. 2010
2009 Chronic calcineurin inhibitor nephrotoxicity: Reflections on an evolving paradigmClinical Journal of the American Society of Nephrology.  4:2029-2034. 2009
2009 Barriers to preemptive kidney transplantationAmerican Journal of Nursing.  109:28-37. 2009
2009 Use of cardioprotective medications in kidney transplant recipientsAmerican Journal of Transplantation.  9:1811-1815. 2009
2009 Fixed- or controlled-dose mycophenolate mofetil with standard- or reduced-dose calcineurin inhibitors: The opticept trialAmerican Journal of Transplantation.  9:1607-1619. 2009
2009 Transplant tourism and unregulated black-market trafficking of organsAmerican Journal of Transplantation.  9:1484. 2009
2009 A Festschrift honoring Dr. John J. Curtis.Clinical Journal of the American Society of Nephrology.  4:2027-2028. 2009
2009 Bortezomib successfully reduces monoclonal serum free light chain levels in a patient with recurrent myeloma and cast nephropathy in the renal transplant.Clinical transplants.  439-441. 2009
2009 Must health literacy be a prerequisite for kidney transplantation?Clinical Journal of the American Society of Nephrology.  4:16-17. 2009
2008 Phase 1 dose-escalation study of CP-690 550 in stable renal allograft recipients: Preliminary findings of safety, tolerability, effects on lymphocyte subsets and pharmacokineticsAmerican Journal of Transplantation.  8:1711-1718. 2008
2008 Transplant tourism: A modern iteration of an ancient problemCurrent Opinion in Organ Transplantation.  13:395-399. 2008
2008 Systolic dysfunction portends increased mortality among those waiting for renal transplantJournal of the American Society of Nephrology.  19:1190-1196. 2008
2008 Kidney transplantation as primary therapy for end-stage renal disease: A National Kidney Foundation/Kidney Disease Outcomes Quality Initiative (NKF/KDOQI™) conferenceClinical Journal of the American Society of Nephrology.  3:471-480. 2008
2007 The impact of left ventricular systolic dysfunction on survival after renal transplantationTransplantation.  84:1610-1617. 2007
2007 Role of β3 integrin in acute renal allograft rejection in humansClinical Journal of the American Society of Nephrology.  2:1268-1273. 2007
2007 Must all living donor compensation be viewed as valuable consideration? [2]American Journal of Transplantation.  7:1309-1310. 2007
2007 Racial Disparities in Renal Allograft Survival: A Public Health Issue?Journal of the American College of Surgeons.  204:894-902. 2007
2006 Limiting financial disincentives in live organ donation: A rational solution to the kidney shortageAmerican Journal of Transplantation.  6:2548-2555. 2006
2006 The conspicuous costs of more of the sameAmerican Journal of Transplantation.  6:1503-1504. 2006
2006 Current and evolving immunosuppressive regimens in kidney transplantationAmerican Journal of Kidney Diseases.  47. 2006
2005 The relationship between ethnicity and outcomes in solid organ transplantationJournal of Pediatrics.  147:721-723. 2005
2005 Understanding the influence of ethnicity on renal allograft survivalAmerican Journal of Transplantation.  5:2603-2604. 2005
2005 Mycophenolate mofetil: Ten years of clinical experience. IntroductionTransplantation.  80. 2005
2005 Association of CD20+ infiltrates with poorer clinical outcomes in acute cellular rejection of renal allograftsAmerican Journal of Transplantation.  5:2248-2252. 2005
2005 Kidneys from deceased donors: Maximizing the value of a scarce resourceAmerican Journal of Transplantation.  5:1725-1730. 2005
2005 Long-term deterioration of kidney allograft functionAmerican Journal of Transplantation.  5:1405-1414. 2005
2005 Improving access to renal transplantationSeminars in Dialysis.  18:482-486. 2005
2004 "High-risk" renal transplantation: evolving definitions at a single center.Clinical transplants.  121-126. 2004
2004 Transplantation in the diabetic patient with advanced chronic kidney disease: A task force reportAmerican Journal of Kidney Diseases.  44:529-542. 2004
2004 Whither Living Donors?American Journal of Transplantation.  4:2-3. 2004
2003 Equivalent Pharmacokinetics of Mycophenolate Mofetil in African-American and Caucasian Male and Female Stable Renal Allograft RecipientsAmerican Journal of Transplantation.  3:1581-1586. 2003
2003 Pharmacokinetics of daclizumab and mycophenolate mofetil with cyclosporin and steroids in renal transplantationClinical Transplantation.  17:511-517. 2003
2003 Determinants of cardiovascular mortality after renal transplantation: A role for cytomegalovirus?American Journal of Transplantation.  3:79-81. 2003
2003 Diabetes mellitus after kidney transplantationAmerican Journal of Transplantation.  3:512-513. 2003
2003 The report of a national conference on the wait list for kidney transplantationAmerican Journal of Transplantation.  3:775-785. 2003
2002 The nondirected live-kidney donor: Ethical considerations and practice guidelines. A national conference reportTransplantation.  74:582-589. 2002
2002 Addressing minority issues in renal transplantation: Is more equitable access an achievable goal?American Journal of Transplantation.  2:1-3. 2002
2002 African Americans and renal transplantation: Disproportionate need, limited access, and impaired outcomesAmerican Journal of the Medical Sciences.  323:94-99. 2002
2001 Maintenance immunosuppression in the renal transplant recipient: an overview.American Journal of Kidney Diseases.  38:S25-S35. 2001
2001 Noncomplication in solid organ transplantationCurrent Opinion in Organ Transplantation.  6:164-168. 2001
2001 Tolerance in renal transplantation after allogeneic bone marrow transplantation-6-year follow-upTransplantation.  71:1681-1683. 2001
2001 Evolution of immunosuppression and continued importance of acute rejection in renal transplantationAmerican Journal of Kidney Diseases.  38. 2001
2001 Maintenance immunosuppression in the renal transplant recipient: An overviewAmerican Journal of Kidney Diseases.  38. 2001
2000 Renal transplantation in black AmericansNew England Journal of Medicine.  343:1545-1552. 2000
2000 Recommendations for the outpatient surveillance of renal transplant recipientsCytogenetic and Genome Research.  11. 2000
2000 Recommendations for the outpatient surveillance of renal transplant recipients. American Society of Transplantation.Journal of the American Society of Nephrology.  11 Suppl 15:S1-86. 2000
2000 Prediction of renal transplant survival from early postoperative radioisotope studiesJournal of Nuclear Medicine.  41:1332-1336. 2000
2000 Posttransplant lymphoproliferative disorder localized near the allograft in renal transplantationTransplantation.  69:809-814. 2000
2000 Erratum: Potential utility of rapamycin and tacrolimus in long-term, low-toxicity regimens (Transplantation Proceedings Vol. 31 (Suppl. 8A) (1999) (17S-22S))Transplantation Proceedings.  32:503-504. 2000
1999 Potential utility of rapamycin and tacrolimus in long-term, low-toxicity regimens.Transplantation Proceedings.  31:17S-22S. 1999
1999 Cytomegalovirus infections after treatment with daclizumab, an anti IL-2 receptor antibody, for prevention of renal allograft rejectionTransplantation.  68:310-313. 1999
1999 Late renal allograft loss: noncompliance masquerading as chronic rejection.Transplantation Proceedings.  31:21S-23S. 1999
1999 Potential utility of rapamycin and tacrolimus in long-term, low-toxicity regimensTransplantation Proceedings.  31:17-22. 1999
1998 Development and clinical utility of daclizumab (Zenapax®), a humanized anti-Tac monoclonal antibody, in renal transplantationTodays Therapeutic Trends.  16:309-324. 1998
1998 Stumbling toward equity: The role of government in kidney transplantationUniversity of Illinois Law Review.  703. 1998
1998 Stumbling toward equity: the role of government in kidney transplantation.University of Illinois Law Review.  1998:703-725. 1998
1998 Results of the double-blind, randomized, multicenter, phase III clinical trial of thymoglobulin versus Atgam in the treatment of acute graft rejection episodes after renal transplantationTransplantation.  66:29-37. 1998
1998 Losartan, an Angiotensin II type 1 receptor antagonist, lowers hematocrit in posttransplant erythrocytosisJournal of the American Society of Nephrology.  9:1104-1108. 1998
1998 Interleukin-2-receptor blockade with daclizumab to prevent acute rejection in renal transplantationNew England Journal of Medicine.  338:161-165. 1998
1997 Renal transplantation in African-American recipients: three decades at a single center.Transplantation Proceedings.  29:3726-3728. 1997
1997 The living donor process in kidney transplantation: influence of race and comorbidity.Transplantation Proceedings.  29:3722-3723. 1997
1996 The evaluation of living renal transplant donors: Clinical practice guidelinesJournal of the American Society of Nephrology.  7:2288-2313. 1996
1996 The evaluation of living renal transplant donors: clinical practice guidelines. Ad Hoc Clinical Practice Guidelines Subcommittee of the Patient Care and Education Committee of the American Society of Transplant Physicians.Journal of the American Society of Nephrology.  7:2288-2313. 1996
1996 Pentoxifylline does not prevent the cytokine-induced first dose reaction following OKT3 - A randomized, double-blind placebo-controlled studyTransplantation.  61:573-577. 1996
1996 Impact of donor/recipient size matching on outcomes in renal transplantationTransplantation.  61:383-388. 1996
1996 Benefits of continued cyclosporine through an indigent drug programAmerican Journal of Kidney Diseases.  28:572-577. 1996
1996 Dilemmas in renal transplantation: When the clinical course and histological findings differAmerican Journal of Kidney Diseases.  27:435-440. 1996
1996 Factors affecting renal allograft survival in african americans?Blood Purification.  14:327-333. 1996
1995 Evaluation of living renal donors: The current practice of US transplant centersTransplantation.  60:322-327. 1995
1995 The evaluation of renal transplant candidates: clinical practice guidelines. Patient Care and Education Committee of the American Society of Transplant Physicians.Journal of the American Society of Nephrology.  6:1-34. 1995
1995 HLA matching in renal transplantationNew England Journal of Medicine.  332:752-753. 1995
1995 Cyclosporine inhibits the renal response to L-arginine in human kidney transplant recipientsJournal of the American Society of Nephrology.  5:1426-1433. 1995
1995 Progress in Renal Transplantation a Single Center Study of 3359 Patients over 25 YearsAnnals of Surgery.  221:446-458. 1995
1995 The evaluation of renal transplant candidates: Clinical practice guidelinesJournal of the American Society of Nephrology.  6:1-34. 1995
1994 Delayed graft function after renal transplantation: Causes, implications, and clinical managementJournal of Nephrology.  7:313-321. 1994
1994 In ReplyJournal of the American Medical Association.  271:1403. 1994
1994 Race and Allocation of Kidneys for TransplantationJournal of the American Medical Association.  271:270-271. 1994
1994 Cytokines and transplantation: a clinical perspective.Transplantation science.  4 Suppl 1. 1994
1994 Erythropoiesis after withdrawal of enalapril in post-transplant erythrocytosisKidney International.  46:1397-1403. 1994
1994 Posttransplant Erythrocytosis: An Enigma RevisitedAmerican Journal of Kidney Diseases.  24:1-11. 1994
1994 Renal retransplantation: The role of race, quadruple immunosuppression, and the flow cytometry cross-matchTransplantation.  57:47-54. 1994
1993 Racial Equity in Renal Transplantation: The Disparate Impact of HLA-Based AllocationJournal of the American Medical Association.  270:1352-1356. 1993
1993 Unequal racial access to kidney transplantation.Vanderbilt Law Review.  46:805-863. 1993
1993 Captopril-induced fall in glomerular filtration rate in cyclosporine-treated hypertensive patientsJournal of the American Society of Nephrology.  3:1570-1574. 1993
1993 Enalapril: safe and effective therapy for posttransplant erythrocytosis.Transplantation Proceedings.  25:1029-1031. 1993
1993 Experience with mycophenolate mofetil (RS61443) in renal transplantation at a single centerAnnals of Surgery.  217:476-484. 1993
1993 Tapering or Discontinuing Cyclosporine for Financial Reasons—A Single-Center ExperienceAmerican Journal of Kidney Diseases.  21:9-15. 1993
1992 Benefits of quadruple immunosuppressive therapy in recipients of living related donor kidneys: A review of 855 operationsAnnals of Surgery.  215:606-617. 1992
1992 Improved survival of primary cadaveric renal allografts in blacks with quadruple immunosuppressionTransplantation.  53:103-109. 1992
1992 The impact of the UNOS mandatory sharing policy on recipients of the black and white races-experience at a single renal transplant centerTransplantation.  53:770-774. 1992
1991 Immunosuppression tailored to raceClinical Transplantation.  5:580-582. 1991
1991 Analysis of 22 years experience in living-related transplantation at the University of Alabama in Birmingham.Clinical transplants.  179-191. 1991
1991 Effects of enalapril on erythrocytosis after renal transplantationACP journal club.  115:954-955. 1991
1991 OKT3 first-dose reaction: Association with T cell subsets and cytokine releaseKidney International.  39:141-148. 1991
1990 Donor antigen-specific immunosuppression in cadaveric and living-related donor kidney allograft recipients.Clinical transplants.  289-300. 1990


Year Title Altmetric
2005 Introduction and acknowledgements 2005
2005 Living donor kidney transplantation: Current practices, emerging trends and evolving challenges 2005


Year Title Altmetric
2019 Azathioprine and mycophenolates.  212-230. 2019
2013 Mycophenolates.  250-266. 2013
2011 Immunosuppression: Past, present, and future.  19-30. 2011
2008 Hypertension in Renal Transplant Recipients.  675-679. 2008
2008 Hypertension in renal transplant recipients.  675-679. 2008
2005 A brief history of living donor kidney transplantation.  1-8. 2005

Education And Training

  • Doctor of Medicine, Saint Louis University 1979
  • Bachelor's Degree in General Studies, University of Arkansas System (AR) : Community College at Hope (2-year campus) 1975
  • Full Name

  • Robert Gaston