The Relationship Between Frailty and Decreased Physical Performance With Death on the Kidney Transplant Waiting List
| Autor: | Shari Bernard, Steven W. Hanna, Mark D. Stegall, Andrea L. Cheville, Fernando G. Cosio, Elizabeth N. Geissler, Nathan K. LeBrasseur, Walter K. Kremers, Yijing Cheng, Steven D. Bogard, Brian R. Bjerke, Elizabeth C. Lorenz |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Waiting Lists Minnesota 030230 surgery Kidney transplant Cohort Studies 03 medical and health sciences 0302 clinical medicine Sex Factors Risk Factors Medicine Humans 030212 general & internal medicine Registries Intensive care medicine Transplantation Frailty business.industry Age Factors Middle Aged Physical Functional Performance Kidney Transplantation Survival Analysis Waiting list Physical performance Kidney Failure Chronic Female business |
| Zdroj: | Progress in transplantation (Aliso Viejo, Calif.). 29(2) |
| ISSN: | 2164-6708 |
| Popis: | Introduction: Frailty and decreased physical performance are associated with poor outcomes after kidney transplant. Less is known about their relationship with pretransplant outcomes. The aim of this study was to characterize associations between frailty and physical performance with death on the kidney transplant waiting list. Design: Since December 2014, high-risk kidney transplant candidates at our center (age > 59, diabetic and/or history of >3 years dialysis) have undergone frailty and physical performance testing using Fried Criteria and the Short Physical Performance Battery. Results: Between December 2014 and November 2016, 272 high-risk candidates underwent testing and were approved for transplant. Both frailty and physical performance score were significantly associated with death on the waiting list (hazard ratio [HR]: 6.7, confidence interval [CI]: 1.5-30.1; P = .01; HR: 0.8 per 1-point increase, CI: 0.7-1.0; P = .02, respectively). The relationship between frailty, physical performance score, and death on the waiting list appeared to be independent of age, diabetes, or duration of dialysis. Discussion: Frailty and decreased physical performance appear to be independently associated with increased mortality on the kidney transplant waiting list. Further studies are needed to determine whether improving frailty and physical performance prior to transplant can decrease waiting list mortality. |
| Databáze: | OpenAIRE |
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