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The title of the talk is kidney-liver overlap: recognition of kidney disease, the impact on symptoms, and who needs both organs. Well go through the scope of the problem, which I will hopefully convince you that is a common occurrence and how we should go about recognizing it because it is something that even though its common, is under-recognized. The burden of the problem in terms of what it means for patients outcomes and symptoms and complications. How weve gotten about it from fixing it, both from a transplant perspective but also in the clinic and preventative perspective. Some of the outcomes of mostly simultaneous liver kidney transplant and next steps. For the scope of the problem Number 1, its very common. If you look at patients who are listed on the wait-list, youll find that about 25 percent of those patients will have some component of chronic kidney disease. Youll find that if you follow patients listed for transplant overtime, about three-quarters of those with