Is Kidney Transplantation for Everyone? The Example of the Older Dialysis Patient

被引：38

作者：

Knoll, Greg A. ^{[1
,2
]}

机构：

[1] Ottawa Hosp, Div Nephrol, Res Inst, Kidney Res Ctr, Ottawa, ON K1H 7W9, Canada

[2] Ottawa Hosp, Res Inst, Clin Epidemiol Program, Ottawa, ON K1H 7W9, Canada

来源：

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY | 2009年 / 4卷 / 12期

关键词：

QUALITY-OF-LIFE; RENAL-TRANSPLANTATION; WAITING-LIST; ACCESS;

D O I：

10.2215/CJN.04210609

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

For the average patient with ESRD, kidney transplantation improves quality of life and prolongs survival compared with patients who are on the transplant waiting list and remain on dialysis. Despite the proven benefits, some patient populations, such as those of older age, may not be referred and accepted for kidney transplantation to the same extent as younger patients. The population with ESRD is aging. Nearly half of all new patients are older than 65 yr. Nephrologists and transplant surgeons will need to make more and more decisions regarding transplantation referral and candidacy in this population. This article reviews the data on survival, quality of life, and cost-effectiveness of kidney transplantation in the older dialysis patient. Clinical guidelines and data on current practice are also reviewed. Clin J Am Soc Nephrol 4: 2040-2044, 2009. doi: 10 2215/CJN.04210609

引用

页码：2040 / 2044

页数：5

共 18 条

[1] Ageism and kidney transplantation [J].