Abstract
Survival benefits of renal transplantation over dialysis therapy are well established for patients with end-stage renal disease (ESRD). Transition from one treatment modality to another is common. Understanding the differences in outcomes with the various renal replacement therapies will help nephrologists to provide best advice for dialysis patients. The influence of pretransplant dialysis modality on post-transplant outcomes is not clear. An overview of the various issues related to dialysis modality on kidney transplantation outcomes is discussed in this topic review. These include allograft and recipient survival, the impact of dialysis vintage and choice of dialysis modality on transplant outcomes.
Highlights
Dialysis and kidney transplantation are treatments for end-stage renal disease (ESRD) [1]
A patient-nephrologist relationship that promotes shared decision-making is recommended for all patients with ESRD [4]
peritoneal dialysis (PD) patients have a more protected volume status leading to a better renal transplantation outcome and lower incidence of post-transplant delayed graft function (DGF) [1]-[5] [17]-[19]
Summary
Dialysis and kidney transplantation are treatments for end-stage renal disease (ESRD) [1]. Survival benefits of renal transplantation over dialysis therapy are well established for patients with ESRD [2] [3]. HD uses a man-made membrane (dialyzer) to filter wastes and remove extra fluid from the blood. (2015) Impact of Dialysis Modality on Kidney Transplantation Outcomes. An overview of the various issues related to dialysis modality on kidney transplantation outcomes is discussed in this topic review (Table 1). These include allograft and recipient survival, the impact of dialysis vintage and choice of dialysis modality on transplant outcomes
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