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Frailty in kidney transplantation: a review on its evaluation, variation and long-term impact

Journal

CLINICAL KIDNEY JOURNAL
Volume 15, Issue 11, Pages 2020-2026

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ckj/sfac149

Keywords

chronic kidney disease; frailty; graft survival; renal transplantation

Funding

  1. Italian Ministry of Health Current research IRCCS

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This study aims to describe the issue of frailty in kidney transplantation and explore the evaluation methods, the impact on patients, and the long-term effects on survival.
The problem of frailty in kidney transplantation is an increasingly discussed topic in the transplant field, partially also generated by the multiple comorbidities by which these patients are affected. The criteria currently used to establish the presence and degree of frailty can be rapidly assessed in clinical practice, even in patients with chronic kidney disease (CKD). The main objectives of this work are: (i) to describe the method of evaluation and the impact that frailty has in patients affected by CKD, (ii) to explore how frailty should be studied in the pre-transplant evaluation, (iii) how frailty changes after a transplant and (iv) the impact frailty has over the long term on the survival of renal transplant patients.

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