The Japanese Journal of Clinical Dialysis Vol.33 No.13(4-7)

Theme Kidney transplantation for dialysis room staff -- Recent clinical issues
Title Renal transplantaion in elderly patients with end-stage renal disease
Publish Date 2017/12
Author Mariko Toyoda Department of Nephrology, Japanese Red Cross Kumamoto Hospital
[ Summary ] With the aging of patients with renal failure, the number of elderly people receiving transplantation has also increased. The results of renal transplantation in elderly people are comparable to those of young people. From the viewpoints of life prognosis and quality of life improvement, renal transplantation should be considered as an option for RRT in elderly patients with end-stage renal disease.
In older recipients, the following characteristics are observed : 1) acute rejection is fewer, 2) infectious complications are more frequent, and 3) the major cause of graft loss is death with functioning grafts. Due to a careful evaluation before transplantation and prevention and early treatment of infection and cardiovascular complications, which are the major causes of death, transplantation has become a preferred RRT for elderly patients.
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