Japanese journal of pediatric nephrology
Online ISSN : 1881-3933
Print ISSN : 0915-2245
ISSN-L : 0915-2245
Case Reports
A case of kidney graft failure due to nonadherence
questionnaire survey of nonadherence in adolescent kidney transplant patients
Toshiaki SuzukiYohei IkezumiTamaki KarasawaHiroya HasegawaYuki NakagawaKazuhide SaitoKota TakahashiShunji IshiharaMasanori HaraToshio YanagiharaMakoto Uchiyama
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2012 Volume 25 Issue 1 Pages 58-62

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Abstract
 It has been reported that nonadherence to immunosuppressive drugs is associated with increased organ rejection episodes leading to graft loss.
 We report here a case of 13―year old boy who received kidney transplantation at the age of 7. He developed antibody―mediated rejection and graft failure due to nonadherence in the fourth year after renal transplantation.
 To evaluate nonadherence of kidney transplant patients in our hospital, we carried out a questionnaire survey with five questions. Adolescent kidney transplant recipients (n=8) at the Niigata University Medical and Dental Hospital were enrolled in the study. Of the total 8 patients, 67.5% (5 patients) reported missing their immunosuppressive drugs over the past 1 month.
 It is necessary to perform education and support for adolescent patient continuously.
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© 2012 The Japanese Society for Pediatric Nephrology
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