2025, Number 3
<< Back
Rev Nefrol Dial Traspl 2025; 45 (3)
An interdisciplinary approach to patients in the evaluation stage to enter the waiting list for a Kidney Transplant
Durán C, Canavero J, Seija M, Astesiano R, Lemos M
Language: Spanish
References: 20
Page: 161-167
PDF size: 572.94 Kb.
ABSTRACT
Introduction: Psychosocial aspects
are essential in the comprehensive
approach to chronic diseases. In
the case of chronic kidney disease
(CKD), which has an estimated
prevalence of 10% in Uruguay,
special attention to these factors is
required. Kidney transplantation
(KT) is the treatment of choice,
and its success largely depends
on adherence to post-transplant
treatments. This study aims to
describe the psychosocial profile of
patients evaluated in 2022, providing
background information to promote
a comprehensive approach that
improves post-transplant outcomes
and enhances the quality of life of
patients.
Materials and Methods:
This is a descriptive, retrospective,
and cross-sectional study based on
a non-probabilistic convenience
sample. A documentary design was
implemented through the review
of medical records, focusing on
psychological reports completed in
2022 as part of the evaluation process
for inclusion on the KT waiting
list.
Results: The sample consisted of
36 patients. Of these, 27.8% reported
a history of depression and 19.5% of
anxiety. A total of 52.8% experienced
at least one stressful life event in
the past year. Additionally, 47.2%
presented complex behaviors such
as tobacco use (25%), problematic
cannabis use (25%), and cocaine
use (13.9%). The main difficulty in
adherence was the health and dietary
aspect, with only 35% reporting
good adherence.
Conclusion: A
high presence of psychosocial risk
factors was observed, highlighting
the importance of systematically
evaluating these factors before
placing patients on the waiting list.
REFERENCES
Sellarés VL, Rodríguez DL. Nefrología aldía: Introducción. Enfermedad Renal Crónica. 2023;1:1–24. Available from: https://www.nefrologiaaldia.org/es [Accessed 2024].
Kidney Disease: Improving Global Outcomes(KDIGO). KDIGO-AVOMD partnershiprelease. 2022 Apr 5. Available from: https://kdigo.org/kdigo-avomd-partnershiprelease[Accessed 2024].
Salud Pública promueve controles paradiagnóstico oportuno y tratamiento deenfermedades renales. Ministerio de SaludPública. 2023.
Tamajón LP, Marrero DH. Evaluación delreceptor de trasplante renal. Grupo EditorialNefrología de la Sociedad Española deNefrología. Soc Esp Nefrol. 2024.
Huertas-Vieco M, Pérez-García R. Factorespsicosociales y adherencia al tratamientofarmacológico en pacientes en hemodiálisiscrónica. Nefrología. 2014;34(6):737–42.
Ramírez-Contreras MG, González-Flores CJ,Martínez-Arriaga RJ, Cortés-Sanabria L,Zambrano - Melín JR. Detección de ansiedady depresión en el binomio receptor-donadordurante el protocolo de trasplante renal. RevNefrol Dial Traspl. 2023;43(1):24–37.
Galain AI, Dapueto JJ, Álvarez R, Gadola L.Prevalence of Symptoms and SymptomClusters of Patients on Dialysis in Uruguay.Value Health Reg Issues. 2019; 20:28–35.
Galain AI, Olaizola I, Schwartzmann L,Zúñiga C, Dapueto JJ. Determinants ofQuality of Life of Dialysis Patients. An FacMed (Univ Repúb Urug). 2014;1(2):51–61.
Romero-Reyes M, Moreno-Egea A, GómezLópez VE, Alcántara-Crespo M, Crespo-Montero R. Análisis comparativo entre lacalidad de vida del paciente trasplantado renaly el paciente en hemodiálisis. EnfermeríaNefrológica. 2021;24(2):129–38.
Fernández A, Frontán A, Brignoni J, FaroliniR, Simoes P, Pastorini P, et al. Evaluaciónpretrasplante renal: Factores vinculados alpaciente y sistema de salud que influyen en eltiempo de estudio. Centro de Nefrología,Hospital de Clínicas. 2018-2021;1– 28.
Lentine KL, Kasiske BL, Levey AS, AdamsPL, Alberú J, Bakr MA, et al. KDIGO clinicalpractice guideline on the evaluation and careof living kidney donors. Vol. 101,Transplantation. 2017. 1–109.
Tang E, Bansal A, Famure O, Keszei A,Novak M, Kim SJ, et al. Substance use inkidney transplant candidates and its impact onaccess to kidney transplantation. ClinTransplant. 2019;33(6):e13565. Availablefrom: https://doi.org/10.1111/ctr.13565[Accessed 2024].
Bohigas. L. Factores que influyen en laadherencia del paciente al tratamiento. AgrupInvestig y marquetin Farm [Internet].2017;20(2):149–57. Available from: https://www.aimfa.es/factoresinfluyenla-adherenciadel-paciente-al-tratamiento/
Álvarez Mabán E, Barra Almagiá E.Autoeficacia, Estrés Percibido Y AdherenciaTerapéutica En Pacientes Hemodializados.Cienc y enfermería. 2010;16(3):63–7
Matos G, Martín Alfonso L, Álvarez VázquezB, Remón Rivera L, González Gacel J, TrevínMG, et al. Therapeutic adherence in patientswith Chronic Renal Insufficiency in dialytictreatment. Ecimed. 2019;18(4):666–77.
Pineda C. Subdiagnóstico de depresión enpacientes con enfermedad renal crónica queingresan al servicio de urgencias en el HGZ50 de S.L.P. [Thesis]. México: UniversidadAutónoma de San Luis, Potosí; 2022. Availablefrom: https://repositorioinstitucional.uaslp.mx/xmlui/handle/i/7620 [2024].
Lentine KL, Kasiske BL, Levey AS, AdamsPL, Alberú J, Bakr MA, et al. KDIGO clinicalpractice guideline on the evaluation and careof living kidney donors. Vol. 101,Transplantation. 2017. 1–109
Pérez Domínguez T, Rodríguez Pérez A,García R. Psiconefrología: Aspectospsicológicos en la poliquistosis renalautosómica dominante. Nefrología.2011;31(6):716-22.
Rodríguez T, Fonseca Fernández M, LimaGA. Guía de atención psicológica a pacientesy familiares en el proceso de donación ytrasplante de órganos. MediSur [Internet]. 2015;13(4):560–8. Available from: http://scielo.sld.cu/scielo.
García-Llana H, Remor E, del Peso G, SelgasR. El papel de la depresión, la ansiedad, elestrés y la adhesión al tratamiento en la calidadde vida relacionada con la salud en pacientesen diálisis: Revisión sistemática de laliteratura. Nefrología. 2014;34(5):637–57.
Full text