[Long-term outcome with end-stage renal disease - survival is not enough: does dialysis or kidney transplantation matter?].
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[Long-term outcome with end-stage renal disease - survival is not enough: does dialysis or kidney transplantation matter?]. / Schulz, Karl-Heinz; Thaiss, Friedrich.
In: BUNDESGESUNDHEITSBLA, Vol. 55, No. 4, 4, 2012, p. 543-551.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Long-term outcome with end-stage renal disease - survival is not enough: does dialysis or kidney transplantation matter?].
AU - Schulz, Karl-Heinz
AU - Thaiss, Friedrich
PY - 2012
Y1 - 2012
N2 - Patients with end-stage renal disease require renal replacement therapy with either dialysis or kidney transplantation. Survival and quality of life (QoL) after transplantation are superior to chronic dialysis. Early living donor kidney transplantation is best for patient and graft survival. Preemptive living-related kidney transplantation therefore is the best medical treatment option for these patients. Patients with end-stage renal disease suffer from multiple physical and psychological complaints. The prevalence of depressive disorders is 20-25% in this population. Studies on QoL in children after kidney transplantation show a reduced physical QoL, but an overall good psychological QoL. Alarming results of numerous studies are the high non-adherence rates in adolescents. Especially exercise interventions during dialysis and after kidney transplantation show promising results. Whether QoL of patients will improve with new approaches to immunosuppressive therapy remains to be evaluated in future studies.
AB - Patients with end-stage renal disease require renal replacement therapy with either dialysis or kidney transplantation. Survival and quality of life (QoL) after transplantation are superior to chronic dialysis. Early living donor kidney transplantation is best for patient and graft survival. Preemptive living-related kidney transplantation therefore is the best medical treatment option for these patients. Patients with end-stage renal disease suffer from multiple physical and psychological complaints. The prevalence of depressive disorders is 20-25% in this population. Studies on QoL in children after kidney transplantation show a reduced physical QoL, but an overall good psychological QoL. Alarming results of numerous studies are the high non-adherence rates in adolescents. Especially exercise interventions during dialysis and after kidney transplantation show promising results. Whether QoL of patients will improve with new approaches to immunosuppressive therapy remains to be evaluated in future studies.
KW - Comorbidity
KW - Humans
KW - Adolescent
KW - Treatment Outcome
KW - Child
KW - Longitudinal Studies
KW - Germany/epidemiology
KW - Quality of Life
KW - Survivors/statistics & numerical data
KW - Depressive Disorder/epidemiology
KW - Exercise Therapy/utilization
KW - Hemodialysis, Home/utilization
KW - Kidney Failure, Chronic/mortality/psychology/therapy
KW - Kidney Transplantation/utilization
KW - Comorbidity
KW - Humans
KW - Adolescent
KW - Treatment Outcome
KW - Child
KW - Longitudinal Studies
KW - Germany/epidemiology
KW - Quality of Life
KW - Survivors/statistics & numerical data
KW - Depressive Disorder/epidemiology
KW - Exercise Therapy/utilization
KW - Hemodialysis, Home/utilization
KW - Kidney Failure, Chronic/mortality/psychology/therapy
KW - Kidney Transplantation/utilization
M3 - SCORING: Zeitschriftenaufsatz
VL - 55
SP - 543
EP - 551
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 4
M1 - 4
ER -
