[Rehabilitation after kidney transplantation: Old problems and new structures]

Internist (Berl). 2016 Jan;57(1):49-53. doi: 10.1007/s00108-015-3808-7.
[Article in German]

Abstract

Kidney transplantation is currently the best therapeutic option for patients with end stage renal disease. Alternative treatment with hemo- or peritoneal dialysis is associated with higher comorbidities, higher morbidity/mortality, and reduced quality of life. Thus, a major aim in posttransplant care is to develop strategies to increase transplant survival and reduce known risk factors and comorbidities. In this overview, we propose a concept to include rehabilitation clinics in all aspects of the transplant process. This concept includes pretransplant care on the waiting list to prepare the patient for the transplant, the direct postoperative treatment phase, and repeated and risk adapted stays in rehabilitation clinics during long-term follow-up to address specific and individual problems.

Keywords: Graft survival; Outcome, long-term; Patient adherence; Prevention and control; Risk, cardiovascular.

Publication types

  • Review

MeSH terms

  • Combined Modality Therapy
  • Evidence-Based Medicine
  • Humans
  • Kidney Transplantation / rehabilitation*
  • Physical Therapy Modalities*
  • Postoperative Care / methods*
  • Renal Replacement Therapy / methods*
  • Treatment Outcome