However, the cause of kidney failure may have an effect on the outcome of kidney transplantation. Some causes of kidney failure such as certain types of glomerulonephritis may occasionally recur in the new transplant. In most cases, transplantation is worthwhile since recurrence is usually very slow to develop. Patients with primary oxalosis require combined kidney-liver transplantation since without metabolic correction of oxalosis with liver transplantation, recurrent kidney disease would be very rapid. Causes of ESRD that may recur in a transplanted kidney.
Recurrence is usually quite slow.
Recurrent disease is rarely seen before the second decade. HIV infection 2. Disseminated or untreated cancer 3. Severe psychiatric disease 4. Unresolvable psychosocial problems 5.