Noncompliance in renal transplant recipients: Experience in Taiwan

M. K. Lai*, Chiu-Ching Huang, S. H. Chu, C. K. Chuang, J. Y. Huang, H. W. Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

6 Scopus citations


Patient compliance is one of the key factors of successful treatment following renal transplantation. Eleven out of 228 renal transplant recipients (4.8%) in our series displayed evidence of medical noncompliance which happened after the recipients had enjoyed good graft function for an average of 53.1 ± 16.9 months after transplantation. In comparison with the control group, these recipients were usually younger (26.3 ± 5.49 VS 32.6 ± 8.92 years old, p < 0.05), had fewer rejection episodes (0% VS 21.4%, p < 0.05) and had lower educational level (p < 0.01). Nine of these noncompliant patients (81.8%) lost their kidney grafts eventually. Three of them died from complications after kidney graft failure. Noncompliance was responsible for 21.4% of total graft loss, the third leading cause of graft loss after rejection (50.0%) and infection (26.2%). Since there is a severe shortage of donor kidneys in the Taiwan area, great effort much be spent to prevent kidney graft loss from patient noncompliance. Patient education and alertness to the risk factors of noncompliance should be emphasized.

Original languageEnglish
Pages (from-to)291-293
Number of pages3
JournalClinical Transplantation
Issue number4
StatePublished - 1992
Externally publishedYes


  • Kidney transplantation
  • Noncompliance


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