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Nephrol Dial Transplant (2000) 15: 315-317
© 2000 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Should renal transplantation be offered to older patients?

Claudio Ponticelli

Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Milan, Italy

Correspondence and offprint requests to: C. Ponticelli, Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, I-20129 Milan, Italy.

Introduction

At the threshold of the millenium the industrial countries have to face the problem of an increasingly aged population. Between 1900 and 1980 the life expectancy per person at age 65 has risen from 11.9 years to 16.4 years. During the 1980s the number of people aged 75–79 increased by 28.8% and that of persons over the age of 85 years by 52.4% [1]. It should be pointed out that not only has the life expectancy of older persons improved, but also their general health status is substantially better than in the past. The longevity revolution will continue to increase in the future and will represent a major problem for politicians, economists, and sociologists.

If the number of elderly persons in the general population is progressively increasing, the number of elderly uraemic patients requiring renal replacement therapy has increased even more rapidly in recent years, creating a true . . . [Full Text of this Article]

Patient and graft survival in older recipients

Patient survival with dialysis or transplantation in the elderly

Practical recommendations

References


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