Choosing between Dialysis and a Kidney Transplant
Dr. Ajay Kher, Director and Senior Consultant Nephrology, MBBS (AIIMS), FASN, Epitome Kidney Urology Institute, New Friends Colony, New Delhi


Patients dealing with chronic kidney disease often begin dialysis before going through an evaluation to determine if they qualify for a kidney transplant. And sometimes, patients stay on dialysis not ever knowing that a new kidney may be a better option. Getting the right information about your options is key to not only your quality of life but also to your survival.
Dialysis, though a life-saving therapy, is a less-than-perfect option to treat kidney failure. The longer a patient stays on dialysis, the longer they are exposed to the chronic effects of kidney failure and dialysis, including issues such as heart problems, hardening arteries, chronic inflammation, and infections.
Once a patient is diagnosed with chronic kidney disease, they should follow up regularly with a nephrologist who should be proactive, pointing them toward a transplant evaluation once their kidney function declines to about 20 to 25 percent. It is important to know that you do not have to do dialysis before you get a kidney transplant. Patients who receive a new kidney before starting or after a short period of dialysis have better outcomes than patients who have been on dialysis for a long time. Patients who have spent no or minimal time on dialysis tend to be healthier and stronger, in part because their disease hasn"t progressed, but also because dialysis is hard on the body. Kidney transplants are associated with several considerable benefits compared to dialysis. These include greater life expectancy, better overall health, and improved quality of life – including freedom from the severe restrictions of dialysis treatments.
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First Published: Dec 26, 2022, 20:36
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