RT Journal Article
T1 Mortality in Elderly Waiting-List Patients Versus Age-Matched Kidney Transplant Recipients: Where is the Risk?
A1 Hernández, Domingo
A1 Alonso-Titos, Juana
A1 Armas-Padrón, Ana María
A1 Ruiz-Esteban, Pedro
A1 Cabello, Mercedes
A1 López, Verónica
A1 Fuentes, Laura
A1 Jironda, Cristina
A1 Ros, Silvia
A1 Jiménez, Tamara
A1 Gutiérrez, Elena
A1 Sola, Eugenia
A1 Frutos, Miguel Angel
A1 González-Molina, Miguel
A1 Torres, Armando
K1 Elderly
K1 Kidney transplantation
K1 Mortality
K1 Patient survival on dialysis
K1 Risk factors
K1 Waiting list
AB The number of elderly patients on the waiting list (WL) for kidney transplantation (KT) has risen significantly in recent years. Because KT offers a better survival than dialysis therapy, even in the elderly, candidates for KT should be selected carefully, particularly in older waitlisted patients. Identification of risk factors for death in WL patients and prediction of both perioperative risk and long-term post-transplant mortality are crucial for the proper allocation of organs and the clinical management of these patients in order to decrease mortality, both while on the WL and after KT. In this review, we examine the clinical results in studies concerning: a) risk factors for mortality in WL patients and KT recipients; 2) the benefits and risks of performing KT in the elderly, comparing survival between patients on the WL and KT recipients; and 3) clinical tools that should be used to assess the perioperative risk of mortality and predict long-term post-transplant survival. The acknowledgment of these concerns could contribute to better management of high-risk patients and prophylactic interventions to prolong survival in this particular population, provided a higher mortality is assumed.
YR 2018
FD 2018-02-22
LK http://hdl.handle.net/10668/12192
UL http://hdl.handle.net/10668/12192
LA en
DS RISalud
RD Apr 7, 2025