November 9, 2017, Lakewood, Colorado – It has long been the policy that individuals who have received kidney dialysis prior to a kidney transplant would produce an inferior post-transplant kidney survival. Thus, most candidates for kidney transplants were patients who had yet to have dialysis. Over 5,000 patients were analyzed to determine the risk of death for those who had undergone several years of dialysis prior to the transplant surgery. The death rate for patients who had a transplant was 3.9 per 100 patient-years, compared with 5.8 per 100 person-years for patients who continued dialysis.1 The transplant recipients had a 40 percent lower risk of dying than patients on dialysis.1
This suggests that those that were previously not recommended for kidney transplant should be reevaluated even if they’ve been on dialysis for a decade. Today, 13 percent of almost 100,000 kidney transplant candidates in the U.S. have had kidney failure for more than 11 years.2
The findings of the study will appear in an upcoming issue of the Clinical Journal of the American Society of Nephrology (CJASN).