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[Experiences with kidney transplantation in elderly patients]
A Königsrainer1, T Wohlfahrter, M Spielberger
1Abteilung für Transplantationschirurgie, I. Universitätsklinik für Chirurgie, Innsbruck.
Wiener Klinische Wochenschrift
|May 13, 1988
Summary
Renal transplantation is a safe option for elderly patients with end-stage renal disease. While infections are more common, older recipients experience fewer cardiovascular and cerebrovascular events, showing good patient-graft survival rates.
Area of Science:
- Nephrology
- Geriatric Medicine
- Transplantation Surgery
Context:
- Elderly patients with end-stage renal disease (ESRD) are a growing demographic.
- These patients are underrepresented as renal transplant recipients globally.
- Transplantation in older adults requires careful consideration of risks and benefits.
Purpose:
- To evaluate the safety and outcomes of cadaveric renal transplantation in patients aged 50 years and older.
- To compare complication rates and survival in elderly versus younger renal transplant recipients.
- To determine the suitability of renal transplantation as a therapeutic option for the aging ESRD population.
Summary:
- The study analyzed 110 renal transplants in 106 patients aged 50+.
- Infection was more frequent in older recipients, but cerebrovascular and cardiovascular complications were lower than anticipated.
- Patient survival was 87% and graft survival was 76% in this cohort.
Impact:
- Cadaveric renal transplantation is a viable and safe treatment for elderly patients with ESRD.
- These findings support expanding access to renal transplantation for older individuals.
- The study provides evidence to inform clinical decision-making regarding transplantation in geriatric populations.