AbstractRationale 0.8], overall symptom severity score 0.8 -1.5;3.0). However, prior-transplant patients had lower HRQoL scores at dialysis initiation (physical -2.6 -4.2;-0.9, mental -2.0 -3.7;-0.3, which persisted during the first year of dialysis for physical HRQoL (mean difference in first year -2.1 -3.3; -0.8). Mental HRQoL was no longer different between prior-transplant and transplant-naive patients (-0.8 -1.9;0.4). Limitations Detailed data regarding the kidney transplantations were not available. Data on psychosocial counseling and guidance were not collected. Conclusions We observed lower HRQoL in prior-transplant compared to transplant-naive patients at dialysis initiation, which may be related to graft rejection and an immunosuppressed state. These findings suggest that patients with graft loss could benefit from additional support to address physical and mental well-being during the transition to dialysis treatment.
Schoot et al. (Wed,) studied this question.