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Quantitative study—other
Renal transplant failure has a devastating impact requiring greater recognition and support
  1. Panduranga S Rao,
  2. Julie Wright Nunes
  1. Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
  1. Correspondence to : Dr Panduranga S Rao, Department of Medicine, University of Michigan, 102 Observatory, Simpson Memorial Building, Ann Arbor, MI 48103, USA; spandu{at}

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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.


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  • Competing interests None.