Kidney transplantation is the preferred treatment for kidney failure, offering several advantages over dialysis, including longer survival, improved quality of life, and reduced health care utilization and cost. Despite the increasing use of living donors, advancements in immunosuppression, and overall patient care, 20% of kidney allografts fail within 5 years from transplantation and 50% within 10 years.1 The outcomes of patients reinitiating dialysis after allograft failure are poor, including an 18% higher mortality compared with patients who initiate dialysis de novo.