View Item 

Show simple item record

Practices in the evaluation of potential kidney transplant recipients who are elderly: A survey of U.S. transplant centers
dc.contributor.authorMandelbrot, Didier A.
dc.contributor.authorFleishman, Aaron
dc.contributor.authorRodrigue, James R.
dc.contributor.authorNorman, Silas P.
dc.contributor.authorSamaniego, Milagros
dc.date.accessioned2017-10-23T17:32:07Z
dc.date.available2018-12-03T15:34:05Zen
dc.date.issued2017-10
dc.identifier.citationMandelbrot, Didier A.; Fleishman, Aaron; Rodrigue, James R.; Norman, Silas P.; Samaniego, Milagros (2017). "Practices in the evaluation of potential kidney transplant recipients who are elderly: A survey of U.S. transplant centers." Clinical Transplantation 31(10): n/a-n/a.
dc.identifier.issn0902-0063
dc.identifier.issn1399-0012
dc.identifier.urihttps://hdl.handle.net/2027.42/138933
dc.description.abstractLimited data exist regarding the evaluation and selection of older candidates for transplantation. To help guide the development of program protocols and help define research questions in this area, we surveyed U.S. transplant centers regarding their current practices in the evaluation of older kidney transplant candidates. We emailed a 28‐question survey to the medical and surgical directors of 190 adult kidney transplant programs in the USA. We received usable responses from 59 programs, a 31.1% response rate. Most (76.3%) programs do not have absolute age cutoffs for listing patients, but for the 22.0% of programs that do have cutoffs, the mean age was 79, range 70‐90. Nearly one‐third (29.2%) of programs require a minimum life expectancy to list for transplant, reporting a mean of 4.5 years life expectancy, (range 2‐10). Programs vary significantly in evaluating candidates living in a nursing home or with cognitive impairments. Practices regarding the evaluation of older transplant candidates vary widely between U.S. programs. Further studies are needed on the impact of age and other comorbidities on transplant outcomes, to help guide decisions on which older patients are most appropriate for transplant listing.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherrisk stratification
dc.subject.otherrisk
dc.subject.otherpatient characteristics
dc.subject.otherorgan allocation
dc.subject.otherclinical decision‐making
dc.subject.otherassessment
dc.subject.otherwaitlist management
dc.titlePractices in the evaluation of potential kidney transplant recipients who are elderly: A survey of U.S. transplant centers
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/138933/1/ctr13088_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/138933/2/ctr13088.pdf
dc.identifier.doi10.1111/ctr.13088
dc.identifier.sourceClinical Transplantation
dc.identifier.citedreferenceOPTN/SRTR 2012. Annual Data Report. 2014.
dc.identifier.citedreferenceGill JS, Schaeffner E, Chadban S, et al. Quantification of the early risk of death in elderly kidney transplant recipients. Am J Transplant. 2013; 13: 427 ‐ 432.
dc.identifier.citedreferenceRao PS, Merion RM, Ashby VB, Port FK, Wolfe RA, Kayler LK. Renal transplantation in elderly patients older than 70 years of age: results from the Scientific Registry of Transplant Recipients. Transplantation. 2007; 83: 1069 ‐ 1074.
dc.identifier.citedreferenceFabrizii V, Winkelmayer WC, Klauser R, et al. Patient and graft survival in older kidney transplant recipients: does age matter? J Am Soc Nephrol. 2004; 15: 1052 ‐ 1060.
dc.identifier.citedreferenceLloveras J, Arcos E, Comas J, Crespo M, Pascual J. A paired survival analysis comparing hemodialysis and kidney transplantation from deceased elderly donors older than 65 years. Transplantation. 2015; 99: 991 ‐ 996.
dc.identifier.citedreferenceSchaeffner ES, Rose C, Gill JS. Access to kidney transplantation among the elderly in the United States: a glass half full, not half empty. Clin J Am Soc Nephrol. 2010; 5: 2109 ‐ 2114.
dc.identifier.citedreferenceMcAdams‐DeMarco MA, Tan J, Salter ML, et al. Frailty and cognitive function in incident hemodialysis patients. Clin J Am Soc Nephrol. 2015; 10: 2181 ‐ 2189.
dc.identifier.citedreferenceSegall L, Nistor I, Pascual J, et al. Criteria for and appropriateness of renal transplantation in elderly patients with end‐stage renal disease: a literature review and position statement on behalf of the European Renal Association‐European Dialysis and Transplant Association Descartes Working Group and European Renal Best Practice. Transplantation. 2016; 100: e55 ‐ e65.
dc.identifier.citedreferenceAbecassis M, Bridges ND, Clancy CJ, et al. Solid‐organ transplantation in older adults: current status and future research. Am J Transplant. 2012; 12: 2608 ‐ 2622.
dc.identifier.citedreferenceFaravardeh A, Eickhoff M, Jackson S, et al. Predictors of graft failure and death in elderly kidney transplant recipients. Transplantation. 2013; 96: 1089 ‐ 1096.
dc.identifier.citedreferenceGrams ME, Kucirka LM, Hanrahan CF, Montgomery RA, Massie AB, Segev DL. Candidacy for kidney transplantation of older adults. J Am Geriatr Soc. 2012; 60: 1 ‐ 7.
dc.identifier.citedreferenceVeroux M, Grosso G, Corona D, et al. Age is an important predictor of kidney transplantation outcome. Nephrol Dial Transplant. 2012; 27: 1663 ‐ 1671.
dc.identifier.citedreferenceHeldal K, Hartmann A, Grootendorst DC, et al. Benefit of kidney transplantation beyond 70 years of age. Nephrol Dial Transplant. 2010; 25: 1680 ‐ 1687.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Name:
ctr13088_am.pdf
Size:
251.3KB
Format:
PDF
View/Open
Name:
ctr13088.pdf
Size:
688.4KB
Format:
PDF
View/Open

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.