• Curr Opin Organ Transplant · Aug 2009

    Review

    Kidney transplantation in the elderly.

    • Neeraj Singh, Uday Nori, and Todd Pesavento.
    • Division of Transplantation, Department of Nephrology, The Ohio State University Medical Center, Columbus, Ohio 43210, USA. neeraj.singh@osumc.edu
    • Curr Opin Organ Transplant. 2009 Aug 1; 14 (4): 380-5.

    Purpose Of ReviewRecent outcome data, ongoing organ shortage and proposed changes in allocation policies are driving the need to review current practices and possible future course of kidney transplantation in the elderly patients.Recent FindingsA proposed new kidney allocation system based on matching donor and recipient characteristics to enable 'age-matched' kidney allocation is currently being discussed in the USA. While this system benefits younger recipients, implications for elderly recipients receiving older grafts remain a matter of debate.SummaryDespite improved outcomes, there remain significant challenges to kidney transplantation in the elderly, including organ shortage, poor transplant rate, evolving allocation policies, high wait-list mortality and nonstandardized immunosuppression. Prospective studies are needed to evaluate the strategies to meet these challenges and to study the impact of proposed new allocation system.

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