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Prehabilitation for kidney transplant candidates: Is it time?
Author(s) -
Cheng Xingxing S.,
Myers Jonathan N.,
Chertow Glenn M.,
Rabkin Ralph,
Chan Khin N.,
Chen Yu,
Tan Jane C.
Publication year - 2017
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13020
Subject(s) - medicine , prehabilitation , cardiorespiratory fitness , intensive care medicine , psychological intervention , kidney disease , transplantation , kidney transplantation , physical fitness , kidney transplant , disease , physical therapy , surgery , nursing
Many patients become frail with diminished cardiorespiratory fitness while awaiting kidney transplantation. Frailty and poor fitness powerfully predict mortality, transplant graft survival, and healthcare utilization after kidney transplantation. Efforts to intervene with post‐transplant physical therapy have been met with limited success, in large part due to high study dropout. We reviewed the literature on chronic kidney disease and exercise to propose a clinical framework for physical therapy interventions to improve fitness, scheduled for before the transplant. This framework may lead to better patient retention and compliance, and thus demonstrate better efficacy in mitigating the effects of frailty and poor fitness after kidney transplantation.