Mortality in Elderly Waiting-List Patients Versus Age-Matched Kidney Transplant Recipients: Where is the Risk?
| Autor: | Ana María Armas-Padrón, Cristina Jironda, Juana Alonso-Titos, Tamara Jimenez, Mercedes Cabello, Pedro Ruiz-Esteban, Domingo Hernández, Silvia Algaba Ros, Verónica López, Elena Gutiérrez, M. Gonzalez-Molina, Eugenia Sola, Armando Torres, Laura Fuentes, M.A. Frutos |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system Dialysis Therapy Waiting Lists Population Waiting list Patient survival on dialysis 030232 urology & nephrology Psychological intervention 030230 surgery lcsh:RC870-923 Kidney transplant Risk Assessment Kidney transplantation 03 medical and health sciences 0302 clinical medicine Elderly Internal medicine Risk of mortality lcsh:Dermatology Medicine Humans Mortality education Aged Aged 80 and over education.field_of_study business.industry General Medicine Perioperative lcsh:RL1-803 medicine.disease lcsh:Diseases of the genitourinary system. Urology Kidney Transplantation Risk factors Nephrology lcsh:RC666-701 Cardiology and Cardiovascular Medicine business |
| Zdroj: | Kidney & Blood Pressure Research, Vol 43, Iss 1, Pp 256-275 (2018) |
| ISSN: | 1423-0143 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|