الفهرس | Only 14 pages are availabe for public view |
Abstract The present results confirm that patients who return to dialysis after kidney allograft failure have poorer hemodialysis quality metrics than transplant-naïve dialysis incident patients in terms of anemia, hyperphosphatemia, hypocalcemia, hypercreatininemia, hyperuremia and hypoalbuminemia. This could result in part from a lesser use of appropriate medication despite regular follow-up by a nephrologist. Mortality among patients on dialysis therapy after primary graft failure increases significantly relative to mortality among patients still awaiting primary kidney transplantation . Nephrology care before dialysis is important, and consistency of care in the immediate six months before dialysis is a predictor of mortality This information can be used for the counselling and prognostication for kidney transplant recipients who fail their first kidney allografts, or to develop different care protocols for transplant patients with chronic kidney disease that may allow them to reach dialysis in a better condition. The establishment of more comprehensive predialysis care among patients with failing renal allografts may improve achievement of both practice guidelines and clinical outcomes. |