Donation and Transplantation of Kidneys Harvested From Deceased Donors Over the Age of 60 Years in the Upper Silesia Region

Sekta, Sylwia; Ziaja, Jacek; Kolonko, Aureliusz; Lekstan, Andrzej; Świder, Robert; Klimunt, J.; Wilk, Jarosław; Król, Robert; Durlik, M.; Wiȩcek, Andrzej; Cierpka, Lech

doi:10.1016/j.transproceed.2015.11.038

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…Only few studies assessed the long-term results of recipients receiving a kidney graft from ECD as compared to standard criteria donors (SCDs) (70). In 2015, Aubert et al assessed the long-term results of graft survival between ECD and SCD in 2,763 recipients in a French cohort and in a validation cohort.…”

Section: Clinical Results In Recipients Of Marginal Kidneysmentioning

confidence: 99%

Transplantation of Marginal Organs: Immunological Aspects and Therapeutic Perspectives in Kidney Transplantation

et al. 2020

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Section: Clinical Results In Recipients Of Marginal Kidneysmentioning

confidence: 99%

Transplantation of Marginal Organs: Immunological Aspects and Therapeutic Perspectives in Kidney Transplantation

et al. 2020

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Results of Transplantation of Kidneys Procured From Donors After Brain Death Aged 60 Years and Older

Franczyk

Skrabaka

Ziaja

et al. 2018

Transplantation Proceedings

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Is Age a Limitation for Organ Donation? A Comparison of Elderly and Non-elderly Donors in a Deceased Donor Organ Transplantation Program from South India

Kiran,

Karthik,

Swarnalatha

et al. 2022

Saudi Journal of Kidney Diseases and Transplantation

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To bridge the gap between demand and supply of organs, deceased donors with extreme ages can be utilized. The object of this study was to compare elderly with non-elderly donors and to assess the predictors of organ utilization or wastage. This was a retrospective chart analysis. Univariate and multivariate logistic regression analysis of cohorts was carried out to predict organ utilization or wastage. Of the 716 deceased donors, 16.2% were elderly (≥60 years) and 83.8% were not elderly (≤59 years). Donors in the elderly cohort were more likely to be diabetic, hypertensive, overweight, and smokers compared with non-elderly donors. They had deranged terminal creatinine and succumbed to cerebrovascular accident or intracerebral hemorrhage. They had a high kidney donor risk index (KDRI) of 1.83 ± 0.46. Those in the younger donor cohort, were more likely to have succumbed to road traffic accident-associated traumatic brain injury, were subjected to more efforts to revive them in the intensive care unit via cardiopulmonary resuscitation, had deranged liver function tests, and had a KDRI of 0.93 ± 0.28. The kidney discard rate (KDR) and liver discard rate (LDR) in the elderly donors was 50% and 8.6%, respectively (vis-a-vis the non-elderly at 13.3 % and 7.5%). The KDR was significantly higher than the LDR in elderly donors. The main reason for this was the high number of “marginal kidneys”. We revealed that elderly donors formed a significant proportion of deceased donors. The utilization of the liver from deceased donors was more frequent compared with the kidney.

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Donation and Transplantation of Kidneys Harvested From Deceased Donors Over the Age of 60 Years in the Upper Silesia Region

Cited by 3 publications

References 28 publications

Transplantation of Marginal Organs: Immunological Aspects and Therapeutic Perspectives in Kidney Transplantation

Transplantation of Marginal Organs: Immunological Aspects and Therapeutic Perspectives in Kidney Transplantation

Results of Transplantation of Kidneys Procured From Donors After Brain Death Aged 60 Years and Older

Is Age a Limitation for Organ Donation? A Comparison of Elderly and Non-elderly Donors in a Deceased Donor Organ Transplantation Program from South India

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