How great is the survival advantage of transplantation over dialysis in elderly patients?

Nephrology Dialysis Transplantation

Volumn 19, Issue 4, 2004, Pages 945-951

  Oniscu, Gabriel C ^a   Brown, Helen ^b   Forsythe, John L R ^a  

^a ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^b HEALTHCARE IMPROVEMENT SCOTLAND   (United Kingdom)

Author keywords

Comorbidity; Dialysis; Elderly patient; Patient survival; Renal transplantation survival; Survival on dialysis

Indexed keywords

ADULT; AGED; ARTICLE; CAUSE OF DEATH; CEREBROVASCULAR DISEASE; COMORBIDITY; CONTROLLED STUDY; DATA BASE; DEMOGRAPHY; FEMALE; FISHER EXACT TEST; FOLLOW UP; HEART ARRHYTHMIA; HEMODIALYSIS; HOSPITAL ADMISSION; HUMAN; ISCHEMIC HEART DISEASE; KIDNEY FAILURE; KIDNEY TRANSPLANTATION; LIFE EXPECTANCY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MORTALITY; PATIENT SELECTION; PRIORITY JOURNAL; RANK SUM TEST; RECIPIENT; RISK ASSESSMENT; SOCIAL STATUS; SURVIVAL; UNITED KINGDOM;

AGE FACTORS; AGED; FEMALE; HUMANS; KIDNEY TRANSPLANTATION; MALE; MIDDLE AGED; RENAL DIALYSIS; SURVIVAL RATE;

EID: 1842523094     PISSN: 09310509     EISSN: None     Source Type: Journal    
DOI: 10.1093/ndt/gfh022     Document Type: Article

References (20)

1. 0 Annual Report. The Scottish Renal Registry, Glasgow, 2001
2. Wolfe RA, Ashby VB, Milford EL et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med 1999; 341: 1725-1730
3. Mallick L, Marasi A. Dialysis in the elderly, to treat or not to treat? Nephrol Dial Transplant 1999; 14: 37-39
4. Ojo AO, Hanson JA, Wolfe RA et al. Long term survival in renal transplant recipients with graft function. Kidney Int 2000; 57: 307-313
5. Roodnat JI, Zietse R, Mulder PG et al. The vanishing importance of age in renal transplantation. Transplantation 1999; 67: 576-580
6. Transplant activity report 2000. UK Transplant, Bristol, 2001
7. Carstairs V, Morris R. Deprivation and mortality: An alternative to social class. Commun Med 1989; 11: 210-219
8. Schaubel DE, Morrison HI, Desmeules M, Parsons DA, Fenton SS. End-stage renal disease in Canada: Prevalence projections to 2005. Can Med Assoc J 1999; 160: 1557-1563
9. Cantarovitch D, Baatard R, Baranger T et al. Cadaveric renal transplantation after 60 years of age. Transpl Int 1994; 7: 34-38
10. Laupacis A, Keown P, Pus N. A study of the quality of life and cost-utility of renal transplantation. Kidney Int 1996; 50: 235-242
11. Meier-Kriesche HU, Ojo AO, Port FK et al. Survival improvement among patients with end-stage renal disease: Trends over time for transplant recipients and wait-listed patients. J Am Soc Nephrol 2001; 12: 1293-1296
12. Johnson DW, Herzig K, Purdie D et al. A comparison of the effects of dialysis and renal transplantation on the survival of older uremic patients. Transplantation 2000; 69: 794-799
13. Schaubel D, Desmeules M, Mao Y, Jeffery J, Fenton S. Survival experience among elderly end-stage renal disease patients. A controlled comparison of transplantation and dialysis. Transplantation 1995; 60: 1389-1394
14. Morris PJ, Johnson RJ, Fuggle SV, Belger MA, Briggs JD. Analysis of factors that affect outcome of primary cadaveric renal transplantation in the UK. The Lancet 1999; 354: 1147-1152
15. Lundgren G, Fehrman I, Gunnarsson B et al. Cadaveric renal transplantation in patients over 55 years of age with special emphasis on immunosupression therapy. Transplant Proc 1982; 14: 601-604
16. Hutchinson TA, Thomas DC, Lemieux JC, Harvey CE. Prognostically controlled comparison of dialysis and renal transplantation. Kidney Int 1984; 26: 44-51
17. Fauchald P, Albrechtsen D, Leivestad T et al. Renal replacement therapy in patients over 60 years of age. Transpl Int 1991; 4: 51-53
18. Okiye SE, Engen DE, Sterioff W et al. Primary renal transplantation in patients 50 years of age and older. Transplant Proc 1983; 15: 1046-1053
19. Port FK, Wolfe RA, Mauger EA, Berling DP, Jiang K. Comparison of survival probabilities for dialysis patients vs cadaveric renal transplant recipients. JAMA 1993; 270: 1339-1343
20. Kasiske BL, Ramos EL, Gaston RS et al. The evaluation of renal transplant candidates: Clinical practice guidelines. J Am Soc Nephrol 1995; 6: 1-34