Nephrol Dial Transplant (2000) 15: 950-952
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Borderline kidney graft donors—what are the problems?
Hospital de Bellvitge, University of Barcelona, Barcelona, Spain
Introduction
The permanent shortage of organs has led to attempts to expand the donor pool. Identifying which kidneys previously considered suboptimal can be safely accepted for transplantation may help to reduce the number of patients on waiting lists. On the other hand, changes in demographic characteristics of developed countries, with an increasing ageing population, makes it more necessary to review donor acceptance criteria to maintain acceptable results even in current transplant activity. In Catalonia in 1990 the proportion of donors older than 50 years was 17%; this had increased to 45% in 1997. During the same period the mean donor age rose from 31.4 years to 45.6 years. Moreover, the proportion of donors dying from cerebrovascular accident, which was less than 40% in 1990, rose to over 50% in 1997 [1]. Similar data have been reported by the United Network for Organ Sharing in the United States [2
Viability of kidneys to be transplanted
Problems with kidneys from elderly donors
Improved kidney preservation strategies
Which donor kidneys to which recipients?
One or two kidneys for transplantation?
Modified immunosuppressive drug regimens?
Conclusions
Notes
References
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