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By Mayo Clinic staffAfter a successful kidney transplant, your new kidney will filter your blood, so you will no longer need dialysis. But, unless the kidney is donated by an identical twin, your immune system will try to reject your new kidney. So you'll require medications to suppress your immune system. You'll likely take these or similar drugs for the rest of your life. Because medications to suppress your immune system make your body more vulnerable to infection, your doctor may also prescribe antibacterial, antiviral and antifungal medications.
Kidney transplant survival rates
According to the Organ Procurement and Transplantation Network:
- About 95 percent of people who receive a living-donor kidney transplant have a functioning kidney after one year. After five years, that rate is about 80 percent.
- About 92 percent of people who receive a deceased-donor kidney transplant have a functioning kidney after one year. Five years after transplant, the rate is about 70 percent.
If your new kidney fails, you can resume dialysis or consider a second transplant. You may also choose to discontinue treatment. This important decision depends on your current health, your ability to withstand surgery and your expectations for maintaining a certain quality of life.
- Kidney transplant. National Kidney Foundation. http://www.kidney.org/atoz/atozprint.cfm?id=86. Accessed July 12, 2009.
- Punch JD. Organ transplantation. In: Doherty GM, et al. Current Surgical Diagnosis & Treatment. 12th ed. New York, N.Y.: McGraw-Hill Companies; 2006. http://www.accessmedicine.com/content.aspx?aID=2066708. Accessed July 12, 2009.
- Kidney failure: Choosing a treatment that's right for you. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/choosingtreatment/. Accessed July 13, 2009.
- Post TW, et al. Patient survival after renal transplantation. http://www.uptodate.com/home/index.html. Accessed June 25, 2009.
- Humar A, et al. Transplantation. In: Brunicardi FC, et al. Schwartz's Principles of Surgery. 8th ed. New York, N.Y.: McGraw-Hill Companies; 2005. http://www.accessmedicine.com/content.aspx?aID=799511. Accessed July 13, 2009.
- Getting a new kidney. American Society of Transplantation. http://www.a-s-t.org/files/pdf/patient_education/english/AST-EdBroNEWKIDNEY-ENG.pdf. Accessed July 13, 2009.
- Coping with the physical side effects of anti-rejection medications. American Society of Transplantation. http://www.healthytransplant.com/index.php?q=quality_of_life/coping_with_the_physical_side_effect_of_anti-rejection_medications. Accessed July 13, 2009.
- Morgan GE, et al. Anesthesia for genitourinary surgery. In Morgan GE. Clinical Anesthesiology. 4th ed. New York, N.Y.: McGraw-Hill Companies; 2006. http://www.accessmedicine.com/content.aspx?aID=893115. Accessed July 12, 2009.
- Shapiro R. Overview of the surgery of deceased donor renal transplantation. http://www.uptodate.com/home/index.html. Accessed July 13, 2009.
- OPTN/SRTR annual report: Adjusted graft survival by year of transplant at 3 months, 1 year, 3 years, 5 years and 10 years, living donor kidney transplants. Scientific Registry of Transplant Recipients. http://www.ustransplant.org/annual_reports/current/509c_ki.htm. Accessed July 14, 2009.
- OPTN/SRTR annual report: Adjusted graft survival by year of transplant at 3 months, 1 year, 3 years, 5 years and 10 years, deceased donor non-ECD kidney transplants. Scientific Registry of Transplant Recipients. http://www.ustransplant.org/annual_reports/current/509a_ki.htm. Accessed July 14, 2009.
