Clinical Analysis

The numbers
nephrology doesn't publish.

ESRD outcomes, transplant psychosocial evaluation gaps, dialysis adherence patterns, and post-transplant mental health. Population-level data, no patient stories. Written by Matthew Sexton, LCSW.

All posts Patient & Caregiver Post-Transplant Clinician
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Post-Transplant May 6, 2026 · 3,200 words

The Post-Transplant Mental Health Cliff

Immunosuppression adherence drops at month six. Depression rates run 25% at year one. The transplant team stops watching at month three. Here is what the data says, and why the workflow gap is a graft-survival problem, not a mental-health add-on.

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23%
immunosuppressant nonadherence rate per 100 patients/year
(Dew et al., 2007, Transplantation)
25%
post-transplant depression at year one
(Hermanns et al., 2024, Kidney360)