@sarah82 Kidney disease, as you know, can have several different base causes. Uncontrolled [and sometimes even controlled!] high blood pressure, and diabetes appear to be the leading causes of chronic kidney disease. Other factors can be genetic [polycystic kidney disease], lifestyle, or effects of long-term use of certain medications. Diabetes and high blood pressure in and of themselves can contribute to stroke events. There is very real truth that transplant patients work hard to keep their new kidney working optimally, and their lifestyle may trend much healthier than before. So, I cannot say if dialysis or transplant people have more strokes. When I was researching this, somewhere I read that the toxins that can build up in our system can lead to greater risk of stroke.

Deciding between dialysis and/or transplant is an important thing. Most patients go on dialysis for a time, unless they have a living donor and can do a pre-emptive transplant. Transplant evaluation can be a lengthy procedure as they look at everything. Typically, at eGFR of 20, doctors may start talking about dialysis, and the "what to do when we get there". Some start at eGFR of 10, while others start at a higher number. For me, I started at eGFR of 14, because I am also an active cancer patient undergoing chemo, and frankly I was just too worn down.

Does this help you at all, and answer your questions? Please let me know!
Ginger