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Implications for practice and research
Patients returning to dialysis after transplant failure need social support to deal with this loss.
The best intervention to address the feeling of isolation needs further study.
Four per cent of US patients who started dialysis in 2007 did so because of a failed transplant.1 Although in many instances loss of graft followed a chronic course, in some cases the process was more subacute, taking place over weeks to months. There is limited research examining how patients with a failed or failing graft cope during a potentially tumultuous transition and the impact of graft loss on dialysis re-entry and psychosocial support. This paper attempts to address some of these research gaps.
Competing interests None.