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Renal Transplantation in Older Adults, an Updated Review

Started by Clark, September 01, 2025, 01:45:38 PM

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Clark

https://link.springer.com/article/10.1007/s40472-024-00438-4

Renal Transplantation in Older Adults, an Updated Review   Open access[/color]   Published: 23 August 2024[/color]   Volume 11, pages 153–159, (2024)Matthew W. Black, et al.
Current Transplantation Reports

Abstract
Purpose of Review
The purpose of this paper will be to review the most recent literature regarding renal transplantation in an older population. We aim to bring the reader up to date on this topic, and see what challenges are posed by transplanting this ever increasing population.
Recent Findings
Renal transplantation in older adults is a continually evolving field. We review outcomes for older patients in remaining on dialysis, outcomes with living donors, outcomes vs younger patients, readmission, frailty, quality of life, immunosuppressant management, and our own centers experience.
Summary
We show, through various papers, that outcomes for older adults are better with receiving a kidney transplant than staying on dialysis. Outcomes for older recipients vs younger recipients are also acceptable, especially when one factors in death censored graft survival. Older patients also require special consideration to keep their readmission rate low, balance their immunosuppressant requirements, and correctly evaluate their frailty.
Unrelated directed kidney donor in 2003, my recipient and I are well!
650 time blood and platelet donor since 1976 and still giving!
Elected to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, and Ad Hoc Public Solicitation of Organ Donors Committees, 2005-11 & OPTN 2025-29.

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