•  
  •  
 

Subject Area

Nephrology

Article Type

Original Study

Abstract

Objectives: to compare the hemodialysis quality metrics of a failed kidney transplant End Stage Renal Disease (Tx ESRD) patients and native kidney failure ESRD (Nat-ESRD) patients.

Background: The management of a failed kidney transplant ESRD patients is complex and challenging. Although patients with Tx-ESRD would be expected to have better quality metrics during the transition back to dialysis, reports are controversial.

Methods: This study included 65 adult patients who were divided into 40 patients with native kidney failure, had no kidney transplantation previously (group I) and 25 transplanted patients with graft failure (group II). Patients were recruited and assessed for eligibility from the hemodialysis units at Nasser Institute Hospital, National Institute for Urology and Nephrology and other Hospitals.

Results: mean duration baseline of ESRD care was 10.9±5.1 months among patients in group I and 12.9±4.8 months (P value>0.05). At baseline and after 6 months of starting dialysis, there was a significant increased serum Creatinine and Urea among group II compared to group I. There was a significant decreased Hb and ferritin and a highly significant decreased Ca among patients in group II compared with group I. Meanwhile, there was a significant increased phosphorous among patients in group II to group I. Moreover, there was a significant decrease in albumin (after 6 months) among group II to group I.

Conclusion: Patients who return to dialysis after kidney allograft failure have poorer hemodialysis quality metrics than transplant-naïve dialysis incident patients in terms of anemia, hyperphosphatemia, hypocalcemia, hypercreatininemia, hyperuremia and hypoalbuminemia.

Download

Share

COinS