Renal transplantation: outcomesDepression levels before and after renal transplantation
Section snippets
Materials and methods
The 88 patients (62 men, 26 women of mean age 31.05 ± 11.78 years) included: renal transplant recipients (group I; n = 27); renal transplant waiting-list patients (group II; n = 30); and chronic allograft rejection patients on dialysis therapy (group III; n = 31). The patients in groups II and III were undergoing routine 4-hour hemodialysis three times per week using cuprophane membranes. Group II and III patients who showed a Kt/V < 1.4 were excluded from the study to minimize uremic effects
Results
Demographic characteristics and depression percentages of the patients are summarized in Table 1 There were 7.4% severe, 14.8% mild, and 77.8% nondepressed patients in group I; 10% severe, 20% moderate, 10% mild, and 60% nondepressed patients in group II; and 22.6% severe, 12.9% moderate, 25.8% mild, and 38.7% nondepressed patients in group III. Depression levels of the three groups were significantly different from each other (P < .01). Interestingly, we observed that the presence of
Discussion
Depression is a serious problem in ESRD patients. Numerous reports describing the relationship between depression and the outcome of ESRD patients and renal transplant recipients3, 4 suggest the importance of establishing this diagnosis. High rates of depression have been reported, particularly among hemodialysis patients.9 Because the symptoms of depression and uremia are similar, the diagnosis of depression becomes difficult.7, 10 To exclude a negative effect of ineffective dialysis on our
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