Renal and Urology News | Jody Charnow
Elderly renal transplant recipients have worse outcomes with an expanded-criteria donor (ECD) kidney than a standard-criteria donor (SCD) kidney, according to a new study. They also had worse outcomes than younger ECD kidney recipients.
“These findings may have implications in kidney allocation policy developments that encourage placement of ECD kidneys for older recipients,” the study investigators reported in the Clinical Journal of the American Society of Nephrology (2012;7:1163-1171).
Joshua D. Mezrich, MD, and colleagues at the University of Wisconsin School of Medicine in Madison reviewed data from all primary deceased-donor kidney transplantations performed from 2000 to 2005 at their center. The study population included 189 recipients aged 60 years and older (group 1) and 370 recipients aged 40-59 years (group 2). In group 1, 96 patients received an ECD kidney and 93 received an SCD kidney. In group 2, 105 received an ECD kidney and 265 received an SCD kidney.