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CC BY-NC-ND 4.0 · Rehabilitation (Stuttg) 2025; 64(04): 238-248
DOI: 10.1055/a-2522-2880
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Rehabilitation bei Nierenerkrankungen

Rehabilitation in chronic kidney disease

Authors

  • Marc Albersmeyer

  • Doris Gerbig

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Die chronische Nierenerkrankung (CKD) gehört zu den häufigen internistischen Erkrankungen, sie führt häufig zu einer verminderten Lebensqualität der Patientinnen und Patienten, einer erhöhten Morbidität und Letalität sowie zu hohen Kosten für das Gesundheitssystem. Diese Übersichtsarbeit beleuchtet den Stellenwert der Rehabilitation bei chronischer Nierenerkrankung, nach Nierentransplantation sowie nach Nierenlebendspende.

Abstract

Chronic kidney disease (CKD) affects approximately 7% of the German population, leading to increased morbidity, mortality and subjective symptoms that significantly impact quality of life. In Germany, approx. 86000 individuals rely on renal replacement therapies with a median waiting time of nearly eight years for a kidney transplant. The initiation of dialysis often results in limitations of functional and physical capabilities, as well as reduced participation in daily activities. The development of frailty during this period is a strong negative predictor of mortality. Thus, patients with CKD can benefit from multimodal rehabilitation programmes.

Research initiatives are exploring the effects of prehabilitation measures on the outcome of kidney transplantation. Most patients benefit from transplantation; however, both the early and late phases post-transplant are characterized by various potential complications. Following a kidney transplant, patients experience increased needs for medical, psychological, nutritional, physiotherapeutic and social counseling and support.

In cases of living kidney donation, donor recovery is typically rapid, although some individuals may experience prolonged recovery times. Registry data indicate that a portion of patients may encounter transient worsening of fatigue symptoms post-donation. Given the unique circumstances surrounding kidney donation and transplantation, intensive follow-up care focusing on renal risks and psychological aspects is essential to ensure optimal patient outcomes and quality of life. This comprehensive approach is crucial for addressing the multifaceted needs of patients throughout their treatment journey.

Schlüsselwörter

CKD - Rehabilitation - Transplantation - Frailty - Quality of Life

Keywords

CKD - rehabilitation - transplantation - frailty - quality of life


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Artikel online veröffentlicht:
04. Juni 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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