Format

Send to

Choose Destination
Prog Transplant. 2019 Jun;29(2):108-114. doi: 10.1177/1526924819835803. Epub 2019 Mar 17.

The Relationship Between Frailty and Decreased Physical Performance With Death on the Kidney Transplant Waiting List.

Author information

1
1 Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
2
2 Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
3
3 Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA.
4
4 Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Abstract

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.

KEYWORDS:

frailty; kidney transplant; mortality; outcome; waiting list

PMID:
30879429
DOI:
10.1177/1526924819835803

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center