ArticleCanadian journal of kidney health and disease2018
A Longitudinal Study Examining the Change in Functional Independence Over Time in Elderly Individuals With a Functioning Kidney Transplant.
Article in Canadian journal of kidney health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Hand dexterity, daily functioning and health-related quality of life in kidney transplant recipients.Scientific reports · 2022Article
- Hand Grip Strength as a Clinical Biomarker for ME/CFS and Disease Severity.Frontiers in neurology · 2018Article
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Authors and funding
5 authors.
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Abstract
backgroundFunctional disability is defined as the need for assistance with self-care tasks.
objectiveTo document changes in functional status over time among older prevalent renal transplant recipients.
designSingle center, prospective, follow-up study.
settingSingle center, tertiary care transplant center. PATIENTS: Patients, with a functioning kidney transplant, aged 65 years or older who underwent assessment of functional status approximately 12 months previously. MEASUREMENTS: Validated tools used included Barthel Index, the Lawton-Brody Scale of Instrumental Activities of Daily Living, the Timed Up and Go test, the Veterans Specific Activity Questionnaire, the Mini-Cog, and dynamometer handgrip strength.
methodsOutpatient assessment by a trained observer.
resultsOf the 82 patients previously studied, 64 (78%) patients participated in the follow-up study (mean age 70.5 ± 4.4 years, 58% male, 55% diabetic). Among those completing functional status measures, 32 (50%) had functional disability at baseline. Over the 1-year period, 11 (17%) of these patients experienced progressive functional decline, 6 (9%) exhibited no change, and 15 (23%) had functional recovery. Eleven patients (17%) initially independent, developed new-onset disability. One of the strongest predictors of progressive functional decline was having 1 or more falls in the previous year. LIMITATIONS: Assessments were performed only on 2 occasions separated by approximately 1 year.
conclusionsFluctuations in disability states are common among older adults living with renal transplants. Episodes of functional disability may place individuals at higher risk of persistent and/or progressive disability.
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