The Japanese Journal of Clinical Dialysis Vol.22 No.10(2-3)

Theme Dialysis Re-initiation and Related Cares after Functional Loss of Transplanted Kidney
Title Economic considerations for patients requiring reintroduction of hemodialysis after kidney transplantation
Publish Date 2006/09
Author Namie Yamazaki Treatment Information Center, Sapporo Hokuyu Hospital / Transplant Coordinators
[ Summary ] Economic considerations are important for patients who need be reintroduced to hemodialysis due to impaired renal grafts, or other reasons, after kidney transplantation. In the case of students, hemodialysis is a time consuming treatment which may reduce their time available for study. This may result in a poor academic record, problems in passing exams for good schools, and difficulty in finding employment. For adults, it may affect their working hours and their ability to work overtime. This may result in reduced wages, and in the case of personnel reshuffles, may lead to loss of employment. In addition, hemodialytic therapy may increase the number of people who receive unemployment benefits and disability allowances. This results in higher medical costs. It may also result in a reduction in the number of children they have and reduce time spent on leisure activities such as travel or sports. This may also affect the economic condition of Japan. In conclusion, we consider that it is important we understand these problems and explain them to patients who wish to undergo kidney transplantation.
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