What is it about?
Young adults who need dialysis or a kidney transplant face certain psychosocial challenges not experienced by older patients, and the extent to which kidney failure has affected their social status, mental health, and lifestyle remains unclear. To investigate, we reviewed all published studies reporting sociodemographic, psychological health, and lifestyle outcomes in young adults aged 16-30 years on renal replacement therapy (receiving dialysis or with a kidney transplant).
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Why is it important?
We know that most young people with end-stage kidney disease have a kidney transplant, but they are high-risk for the transplanted kidney to fail. There has been much focus both on programs to improve the transition between pediatric and adult care for kidney patients, and clinical end-points. It is vital to understand how kidney failure affects social goals, because by defining these we can seek interventions to improve areas of deficit. These areas really matter to patients.
Perspectives
Although some aspects of our systematic review are very technical, and in addition to the key findings relative to the general population, it reports the nature of the existing literature. This allows us to be aware of common outcomes but also the gaps, which is helpful for designing future studies.
Alexander Hamilton
University of Bristol
Read the Original
This page is a summary of: Sociodemographic, Psychologic Health, and Lifestyle Outcomes in Young Adults on Renal Replacement Therapy, Clinical Journal of the American Society of Nephrology, October 2017, American Society of Nephrology,
DOI: 10.2215/cjn.04760517.
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