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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Kidney Transplant Recipients' Perspectives on Cardiovascular Disease and Related Risk Factors After Transplantation:

Fabián Ballesteros1, Julie Allard1,2, Céline Durand1

  • 1Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada.

Transplantation Direct
|June 17, 2017
PubMed

Insights

Kidney transplant recipients (KTRs) often underestimate cardiovascular disease (CVD) risks, prioritizing other aspects of care. Patients desire more tailored information on post-transplant CVD, highlighting a gap in awareness and education.

Area of Science:

  • Nephrology
  • Cardiology
  • Transplantation Medicine

Background:

  • Cardiovascular disease (CVD) is a leading cause of mortality in kidney transplant recipients (KTRs).
  • KTRs exhibit a high prevalence of CVD risk factors like hypertension, diabetes, and dyslipidemia.
  • Current medical care infrequently achieves therapeutic targets for these risk factors in KTRs.

Purpose of the Study:

  • To explore KTRs' perspectives on cardiovascular disease (CVD) and associated risk factors.
  • To identify KTRs' priorities for post-transplant care regarding CVD.
  • To understand patient-reported needs for information on managing CVD risks after kidney transplantation.

Main Methods:

  • A qualitative study involving semistructured interviews with 26 kidney transplant recipients (KTRs).
  • Interviews focused on personal experiences and views regarding post-transplant CVD risk factors.
  • Thematic and content analysis was applied to digitally recorded and transcribed interview data.

Main Results:

  • CVD and its risk factors are perceived as underestimated and trivialized by KTRs.
  • Only 2 out of 26 patients prioritized CVD prevention and treatment.
  • Key patient priorities included immunosuppressive drugs (13/26), follow-up (10/26), and graft survival (9/26).
  • A significant majority (21/26) expressed a desire for better information on post-transplant CVD risk factors.

Conclusions:

  • Cardiovascular disease (CVD) and related risks are not prioritized by KTRs and are often underestimated.
  • KTRs strongly desire tailored information about CVD risks, delivered by healthcare professionals throughout the transplant process.
  • Developing targeted educational strategies is crucial to enhance awareness and management of post-transplant CVD risks.
Abstract

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