[Rehabilitation in chronic kidney disease]

Chronic kidney disease (CKD) affects approximately 7% of the German population, leading to increased morbidity, mortality and subjective symptoms that significantly impact quality of life. In Germany, approx. 86000 individuals rely on renal replacement therapies with a median waiting time of nearly eight years for a kidney transplant. The initiation of dialysis often results in limitations of functional and physical capabilities, as well as reduced participation in daily activities. The development of frailty during this period is a strong negative predictor of mortality. Thus, patients with CKD can benefit from multimodal rehabilitation programmes.Research initiatives are exploring the effects of prehabilitation measures on the outcome of kidney transplantation. Most patients benefit from transplantation; however, both the early and late phases post-transplant are characterized by various potential complications. Following a kidney transplant, patients experience increased needs for medical, psychological, nutritional, physiotherapeutic and social counseling and support.In cases of living kidney donation, donor recovery is typically rapid, although some individuals may experience prolonged recovery times. Registry data indicate that a portion of patients may encounter transient worsening of fatigue symptoms post-donation. Given the unique circumstances surrounding kidney donation and transplantation, intensive follow-up care focusing on renal risks and psychological aspects is essential to ensure optimal patient outcomes and quality of life. This comprehensive approach is crucial for addressing the multifaceted needs of patients throughout their treatment journey.