To order to investigate whether frailty in patients with kidney failure may affect their likelihood of receiving a kidney transplant, Christine Haugen, MD (Johns Hopkins Hospital) and her colleagues studied 7,078 potential kidney transplant candidates from 2009 to 2017.
Patients were considered frail if they had 3 or more of the following components:
- Unintentional weight loss
- Decreased grip strength
- Slowed walking speed
- Low activity
Frail participants were 38% less likely to be listed for transplantation, as they had a nearly twofold increased risk of dying while on the transplant waitlist mortality, and underwent transplantation at a 35% lower rate than non-frail participants.
“Prehabilitation may be a useful tool to increase physiologic reserve and subsequently improve access to kidney transplantation among frail patients,” said Dr Haugen.
Source: Medical Xpress