Prehabilitation for kidney transplant candidates: Is it time?

Many patients become frail with diminished cardiorespiratory fitness while awaiting kidney transplantation. Frailty and poor fitness powerfully predict mortality, transplant graft survival, and healthcare utilization after kidney transplantation. Efforts to intervene with post‐transplant physical th...

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Bibliographic Details
Published in:Clinical transplantation 2017-08, Vol.31 (8), p.n/a
Main Authors: Cheng, Xingxing S., Myers, Jonathan N., Chertow, Glenn M., Rabkin, Ralph, Chan, Khin N., Chen, Yu, Tan, Jane C.
Format: Article
Language:English
Subjects:
elderly
end‐stage renal disease
exercise
Exercise Test
fitness
Frailty
Humans
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - rehabilitation
Kidney Failure, Chronic - surgery
kidney transplant
Kidney Transplantation
Physical Fitness
physical therapy
Physical Therapy Modalities
Preoperative Care - methods
transplant outcomes
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Summary:Many patients become frail with diminished cardiorespiratory fitness while awaiting kidney transplantation. Frailty and poor fitness powerfully predict mortality, transplant graft survival, and healthcare utilization after kidney transplantation. Efforts to intervene with post‐transplant physical therapy have been met with limited success, in large part due to high study dropout. We reviewed the literature on chronic kidney disease and exercise to propose a clinical framework for physical therapy interventions to improve fitness, scheduled for before the transplant. This framework may lead to better patient retention and compliance, and thus demonstrate better efficacy in mitigating the effects of frailty and poor fitness after kidney transplantation.
ISSN:0902-0063
1399-0012
DOI:10.1111/ctr.13020