Study examines symptoms before and after kidney transplantat
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Investigators have examined how various symptoms experienced by individuals with kidney failure are impacted by kidney transplantation. People with kidney failure must often deal with numerous symptoms, such as fatigue, cramping, muscle soreness, numbness, dizziness, and loss of appetite.

Although kidney transplantation is the optimal treatment for restoring kidney function in patients with kidney failure, how it affects these symptoms is unclear. To investigate, researchers analyzed information on 1,298 kidney transplant candidates and 521 kidney transplant recipients.

- Candidates reported being moderately to extremely bothered by fatigue, dry skin, muscle soreness, and itchy skin; 16% reported high and 21% reported very high symptom burden.

- During a median follow-up of 1.9 years, 12% of patients died on the waitlist, and those with very high symptom burden had a 67% higher risk.

- By the time patients were to receive transplants, 34% experienced an increased symptom burden while 42% remained unchanged.

- Among kidney transplant recipients, patients experienced a lessening of symptoms following transplantation, with an overall 10% improvement in symptoms, followed by little further change from 3 months through 12 months after surgery.

- There were early (first 3 months) improvements in 9 of 11 symptoms, and itchy skin and fatigue had the greatest improvements.

"Our findings on the post-transplantation change in symptoms can help inform the important discussion surrounding post-transplant care, clarify the timeline for improvement, identify populations who are most likely to benefit, and promote patient-centered care," said the author.

Clinical Journal of the American Society of Nephrology
Source: https://cjasn.asnjournals.org/content/early/2021/06/18/CJN.19031220
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