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From Dialysis to Destinations: Safe Travel Strategies for Patients With CKD
Seong Geun Kim1, Chia-Ter Chao2,3,4,5, Kornchanok Vareesangthip6
1Division of Nephrology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Seoul, Republic of Korea.
Kidney International Reports
|December 22, 2025
Summary
Traveling with chronic kidney disease (CKD) or end-stage kidney disease (ESKD) requires careful planning. This review details travel risks and provides recommendations for dialysis patients to ensure safe journeys.
Area of Science:
- Nephrology
- Travel Medicine
- Public Health
Background:
- Chronic kidney disease (CKD) and end-stage kidney disease (ESKD) are increasing global health concerns.
- ESKD patients experience lifestyle limitations, especially concerning travel, due to treatment demands and health risks.
Purpose of the Study:
- To review travel-related complications in CKD and dialysis patients.
- To provide recommendations for safe air and long-distance travel for these patients.
Main Methods:
- Literature review of travel complications in CKD and dialysis.
- Examination of aeromedical risks and airline medical clearance protocols.
- Development of recommendations for hemodialysis and peritoneal dialysis patients.
Main Results:
- Key travel risks include cardiovascular events, infections, jet lag, and vascular access issues.
- Aeromedical considerations like hypobaric hypoxemia and venous thromboembolism (VTE) are significant.
- Airline medical clearance varies among carriers.
Conclusions:
- Patients with CKD and ESKD require thorough pre-travel assessment and planning.
- Management of medications, supplies, and dialysis coordination is crucial for safe travel.
- Specific inflight precautions are necessary for dialysis patients.
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