Outcome Analysis of Renal Transplantation from Living Related Elderly Donor
Abstract
A retrospective analysis of our living related renal transplant program (from May 1988 to August 1998) revealed 8 of donors were above 50 years of age (range 50-60 year). One recipient died at one and a half year after renal transplantation. Seven recipients have been followed up for more than 3 year. These patients were cohort of 12 patients (recipients of grafts from donor age 40-49 year) with similar HILA match, immunosuppressive protocol and follow-up period more than one year. Graft survival at one year was 100 per cent in all recipients. Allograft function was evaluated by serum creatinine determination. Serum creatinine levels (mg%) were 2.47 ± 1.98, 2.37 ± 0.82 and 2.15 ± 0.21 recipients from in donor age below 50 and 1.58 ± 0.32, 2.48 ± 1.65 and 2.00 ± 0.17 in recipients from donors of age above 50 years old at 1, 3 and 5 years, respectively. There were no added morbidity in older donors in comparison to younger donor. In view of acute organ shortage, it can be concluded that if elderly donors are properly screened, they can be accepted for donation without increasing risks to donor or graft outcome.
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