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Updated: Nov 19, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Frailty and Kidney Transplantation.
1Division of Organ Transplantation, Rhode Island Hospital, Providence, RI; Division of Kidney Diseases and Hypertension, Brown Medicine, E. Providence, RI; Alpert Medical School of Brown University, Providence, RI.
New kidney transplant policies may affect frail patients. Evaluating and improving patient frailty is crucial for successful kidney transplantation, especially in New England.
Area of Science:
- Nephrology
- Transplantation Medicine
- Public Health Policy
Background:
- Recent policy shifts emphasize kidney transplantation and organ utilization.
- Organ allocation changes may impact kidney availability in regions like New England.
- This raises concerns about transplant suitability for frail individuals.
Purpose of the Study:
- To examine the relevance of patient frailty in kidney transplantation.
- To assess frailty evaluation methods and their impact on transplant outcomes.
- To explore the potential for reversing frailty to improve transplant success.
Main Methods:
- Review of the concept and assessment of frailty in transplant candidates.
- Analysis of frailty's impact on kidney transplant outcomes.
- Investigation into improving frailty markers and their effect on transplant results.
Main Results:
- Frailty assessment is increasingly important due to policy changes.
- Frail recipients may face challenges with organ availability and quality.
- Transplantation may offer benefits in reversing frailty.
Conclusions:
- Transplant nephrologists must closely assess patient frailty.
- Interventions to reverse frailty could improve transplant eligibility and outcomes.
- Further research is needed on frailty markers and their impact on transplant success.
Related Concept Videos
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Kidney Transplant III: Nursing Management
Chronic Kidney Disease I: Introduction
Acute Kidney Injury III: Clinical Manifestations
Chronic Kidney Disease II: Clinical Manifestations

