Frequency of Home Therapy Among Patients Who Underwent Kidney Transplantation Followed by Maintenance Dialysis.

BACKGROUND

Patients with end-stage kidney disease require renal replacement therapy (RRT); however, little is known about the treatment in patients who return to RRT after graft loss.

METHODS

We conducted a cross-sectional study using the Japanese Society for Dialysis Therapy Renal Data Registry via the web-based dialysis data archive analysis system. Data at the end of 2023 were extracted. Patients were divided based on kidney transplantation history and associations with home therapy use were examined.

RESULTS

Of 249 714 patients, 3930 had a kidney transplantation history. These patients were younger, less likely to have diabetes or cardiovascular disease, and exhibited better nutritional status and activities of daily living compared with non-transplant patients. Home therapy was chosen more frequently by patients with a history of transplantation (odds ratio: 1.64, 95% confidence interval: 1.34-2.00, p < 0.01).

CONCLUSION

Patients with a kidney transplantation history tend to receive home therapy reflecting their clinical profile.