DOI

10.1053/j.ajkd.2026.03.046

Abstract

Mr H is a single father of multiple children who was referred for a kidney transplant evaluation. He was diagnosed with chronic kidney disease (CKD) stage 3, attributed to hypertension and ibuprofen use, when he presented with flu-like symptoms in the 1990s. He received care for approximately 3 years before being lost to follow-up. Nearly 30 years later, he re-established care after the initiation of dialysis and was referred for transplantation. At that time, the patient had spent more than 20 years in the prison system and had several years remaining on his current sentence. His Stanford Integrated Psychosocial Assessment for Transplant, a psychosocial measure of transplant readiness,1 indicated poor candidacy for transplant owing to unclear postincarceration plans, particularly regarding stable housing and available social support.

Document Type

Article

Publication Date

8-2026

Publisher Statement

© 2026 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

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