Rapid Review: Die Lebensqualität nach adulter allogener Nierentransplantation in den letzten 5 Jahren

Deleted Journal, Год журнала: 2025, Номер unknown

Опубликована: Янв. 7, 2025

Zusammenfassung Hintergrund In aktuellen Studien konnte gezeigt werden, dass das klinische Monitoring der Lebensqualität (HRQoL) frühzeitig hilft, Nierentransplantatversagen zu erkennen. Fragestellung Aufgrund des Potenzials, in Verbesserung HRQoL für die Langzeitergebnisse Nierentransplantation steckt, führten wir ein Rapid Review letzten 5 Jahre zur Evaluation nach adulter allogener durch. Material und Methoden Es wurde eine schnelle Evidenzanalyse mittels Literaturrecherche MEDLINE im Zeitraum 2019 bis 2024 durchgeführt. Ergebnisse Die primäre Literatursuche ergab 554 Treffer, schließlich konnten lediglich 12 Kohortenstudien eingeschlossen davon 2 retrospektive zehn prospektive Arbeiten. Nierentransplantierte Patienten haben bessere als mit terminaler Niereninsuffizienz. Das wird durch körperliche, psychische soziale Faktoren beeinflusst. Eine weitere bzw. primären Einflussfaktoren hat Potenzial, weiter verbessern. Allerdings fehlen Identifikation geeigneter Interventionen. Interessante beeinflussende könnten z. B. Atemwegsbeschwerden Unterstützung bei beruflichen Wiedereingliederung sein. Diskussion Zukünftige sollten auf adäquater Interventionen weiteren Nierentransplantierten fokussieren.

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The impact of medication regimen complexity on patient-related and clinical outcomes in kidney failure: a systematic review

Expert Opinion on Pharmacotherapy, Год журнала: 2025, Номер unknown, С. 1 - 9

Опубликована: Янв. 7, 2025

Introduction Kidney failure is a life-limiting condition that profoundly impacts an individual's quality of life. The significant medication burden on patients required to manage the comorbidities and complications kidney can have implications for patient-reported clinical outcomes.

Язык: Английский

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Comparison of the quality of life and biochemical characteristics of patients undergoing hemodialysis and peritoneal dialysis: a systematic review and meta-analysis

International Urology and Nephrology, Год журнала: 2025, Номер unknown

Опубликована: Март 29, 2025

Язык: Английский

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Cardiovascular Risk after Kidney Transplantation: Causes and Current Approaches to a Relevant Burden

Journal of Personalized Medicine, Год журнала: 2022, Номер 12(8), С. 1200 - 1200

Опубликована: Июль 23, 2022

Background. Cardiovascular disease is a frequent complication after kidney transplantation and represents the leading cause of mortality in this population. Material Methods. We searched for relevant articles National Institutes Health library medicine, transplant, cardiologic nephrological journals. Results. The pathogenesis cardiovascular transplant multifactorial. Apart from non-modifiable risk factors, such as age, gender, genetic predisposition ethnicity, several traditional non-traditional modifiable factors contribute to its development. Traditional diabetes, hypertension dyslipidemia, may be present before worsen transplantation. Immunosuppressants impaired graft function strongly influence exacerbation these comorbidities. However, last years, studies showed that many other involved transplantation, including hyperuricemia, inflammation, low klotho elevated Fibroblast Growth Factor 23 levels, deficient levels vitamin D, vascular calcifications, anemia poor physical activity quality life. Conclusions. timely effective treatment time-honored recently discovered represent basis prevention complications Reduction can improve life expectancy, allograft survival.

Язык: Английский

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Assessment of the Nutritional Status and Quality of Life in Chronic Kidney Disease and Kidney Transplant Patients: A Comparative Analysis

Nutrients, Год журнала: 2022, Номер 14(22), С. 4814 - 4814

Опубликована: Ноя. 14, 2022

Chronic kidney disease (CKD) can significantly influence a patient's nutritional status, leading to malnutrition. Malnutrition is associated with an increase in morbidity and hospital admissions, as well decrease functional status. All these factors impact emotional, physical, psychosocial health, lower quality of life (QOL). The aim the study was assess status QOL patients CKD compared after transplantation determine what this patient population. included 167 patients: 39 pre-dialysis patients-group 1; 65 dialysis 2; 63 transplant 3. Patients completed Kidney Disease Quality Life questionnaire (KDQoL) Mini Nutritional Assessment (MNA). A comparative analysis three groups showed no statistically significant differences overall KDQoL scores. Factors that affected designated group, determined by MNA score, age, WHR. Nearly 1/3 from 2 3 were at risk systematic assessment monitoring should be integrated into standard management guidelines for patients.

Язык: Английский

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Pulmonary Arterial Hypertension and Adverse Outcomes after Kidney Transplantation: A Systematic Review and Meta-Analysis

Journal of Clinical Medicine, Год журнала: 2022, Номер 11(7), С. 1944 - 1944

Опубликована: Март 31, 2022

Pulmonary arterial hypertension (PH) has a high prevalence in chronic kidney disease (CKD) patients, especially those undergoing transplantation (KT). We aimed to systematically review and calculate the pooled effect size of literature evaluating association between pre-existing PH documented by transthoracic echocardiography (TTE) or invasively adverse outcomes following KT. The primary composite outcome extracted from included studies was represented mortality any cause KT delayed graft function (DGF), dysfunction, failure. secondary were individual components outcome. Twelve meeting inclusion criteria selected. main finding is that associated with increased higher rate DGF, failure recipients. remained significant for all irrespective evaluation, using TTE. Consequently, patients defined only TTE at risk death, Our findings support routine assessment on waitlist. might represent an extensively available valuable tool stratification patients. These data should be confirmed large prospective clinical trials.

Язык: Английский

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Urologists' proficiency in various donor nephrectomy approaches: a real-life survey, systematic review, and meta-analysis of randomized controlled trials

Minerva Urology and Nephrology, Год журнала: 2024, Номер 76(4)

Опубликована: Июль 1, 2024

Donor nephrectomy (DN) is a unique surgical procedure in urological practice, as it involves exposing healthy individual to the potential risks of surgery. This type surgery exhibits heterogeneity terms approach (open, laparoscopic, or robotic), each with its set advantages and disadvantages. Consequently, there currently lack universally agreed upon clear guidelines. In these settings, this study aims evaluate transplantation surgeons' knowledge through real-life survey compare data from published randomized controlled trials (RCTs).

Язык: Английский

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Comparison between female kidney donors with prediabetes and without diabetes in blood pressure measurements, kidney and diabetes biomarkers: a prospective cohort study

Journal of Nephrology, Год журнала: 2024, Номер unknown

Опубликована: Дек. 15, 2024

Язык: Английский

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Early Post-Transplant Adaptation Experience in Young and Middle-Aged People With Kidney Transplant in China: A Qualitative Study

Western Journal of Nursing Research, Год журнала: 2024, Номер 46(5), С. 356 - 365

Опубликована: Март 18, 2024

Background: Successful adaptation to post-transplantation life in patients who have undergone kidney transplants is crucial. The psychosocial needs of people with are closely related the health transplanted kidney. If transplant recipients cannot adapt effects transplant, their physical and mental will be seriously impaired. Objective: purpose this study was explore early post-transplant experience young middle-aged persons China based on Roy model. Methods: A qualitative descriptive conducted using semi-structured interviews. Fifteen were recruited from a tertiary hospital between September 2022 March 2023 through purposive sampling. Data analyzed thematic analysis approach. Results: This identified 4 themes: (1) “two-sided” changes physiological functioning, (2) “dawn darkness” (conflicting perceived emotions about future), (3) role functioning conflict impairment, (4) social isolation challenges coping. Conclusions: found that included both positive negative experiences, these findings can provide new insights into research successful post-operative adaptation.

Язык: Английский

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Factors Affecting On Dialysis Patients to Choose or Refuse Kidney Transplantation as Renal Replacement Therapy

Pakistan Journal of Health Sciences, Год журнала: 2023, Номер unknown, С. 73 - 77

Опубликована: Март 31, 2023

Kidney transplantation (KT) is the most successful treatment for end-stage renal disease patients. But objective data about patients' willingness to undergo kidney transplant still lacking in Pakistan. Objective: To assess barriers KT and identify factors which could influence regarding among hemodialysis dependent Methods: This cross-sectional study carried out at Dialysis Unit, Dept. of Urology Lahore General Hospital, on 100 patients by completion structured questionnaire their knowledge attitudes toward how satisfied they were with dialysis. Results: The mean age was 42.8 ± 10.6 years 55% male 45% female percentage who willing get a 60%. main reason unwillingness lack donor (83.3%). Motivating choose vascular access constraints 75%, studies or work difficulties 70%, fluid dietary restrictions account 63.3%. wanted deceased 50%, whereas preferred living 25% (17 % relatives 8% non-relatives) had no preference. Conclusion: Willingness relatively low Lack donor, fear surgery financial problems are ESRD patient

Язык: Английский

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