Selection of Elderly Patients for Transplantation
Transplanted organs are a precious commodity for which there is increasing demand. There is also an ever-widening gap between the need for organs and our capacity to meet that need. The waiting lists are increasing, and the gap between need and supply is also increasing, as seen in Figure 67.1. The situation is similar in all countries where programs exist for the transplantation of solid organs. The data shown are for kidney failure, but the overall transplant data are similar. In this chapter, the discussion is confined to cadaveric organ transplants, as live donor transplants are seldom used for the elderly.
KeywordsGraft Survival Transplant Outcome Transplant Program Transplant Team Cadaveric Renal Transplantation
Unable to display preview. Download preview PDF.
- 1.UNOS Annual Report. Transplant Data: 1988–1995. Washington, DC: US Department of Health and Human Services, 1996.Google Scholar
- 4.Fraser RC. What Has the Law Got to Do with It: Health Care Reform in Canada. Ottawa: Canadian Bar Association Task Force Report, 1994.Google Scholar
- 5.Callahan D. Setting Limits. Medical Goals in an Aging Society. New York: Simon & Schuster, 1987.Google Scholar
- 6.Barry RL, Bradley GV. Eds. “Set No Limits: A Rebuttal to Callahan’s Proposal to Limit Health Care for the Elderly.” Urbana, IL: University of Illinois Press, 1991.Google Scholar
- 7.Canadian Organ Replacement Register. 1993 Report. March 1995:Table 93.Google Scholar
- 8.Canadian Organ Replacement Register. 1993 Report. March 1995:Table 28.Google Scholar
- 11.Kock B, Kuhlback B, Ahonen J. Kidney transplantation in patients over 60 years of age. Scand J Urol Nephrol 1980; 54(suppl):203–205.Google Scholar
- 12.Wedel N, Brynger H, Blohme I. Kidney transplantation in patients 60 years of age. Scand J Urol Nephrol 1980; 54(suppl):106–108.Google Scholar
- 13.Ost L, Groth CG, Lindholm B, et al. Cadaveric renal transplantation in patients of 60 years of age. Scand J Urol Nephrol 1980;54(suppl):339–340.Google Scholar
- 14.Cardella CJ, Harding ME, Abraham G, et al. Renal transplantation in older patients on peritoneal dialysis. Transplant Proc 1986;21:2022–2023.Google Scholar
- 17.Fehrman I, Brattstrom C, Duraj F, et al. Kidney transplantation in patients between 65 and 75 years of age. Transplant Proc 1989;21:1749–1752.Google Scholar
- 23.US Renal Data System (USRDS) 1997 Annual Data Report (Table II-1). Bethesda: National Institute of Diabetes and Digestive and Kidney Diseases.Google Scholar