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Nephrol Dial Transplant (2002) 17: 58-60
© 2002 European Renal Association-European Dialysis and Transplant Association

IV.12 Elderly (specific problems)

Guidelines

A. Because renal transplantation can extend the duration and quality of life in elderly patients (age 60–70 years) with end-stage renal disease, transplantation should be considered in all patients, particularly if special programmes and preparations are applied.

(Evidence level B)

B. In elderly kidney transplant recipients, immunosuppression has to be adapted to avoid both rejections and adverse effects.

(Evidence level C)

C. Accurate diagnosis and aggressive treatment of cardiovascular disease in elderly recipients are recommended because of the high number of deaths with functioning grafts.

(Evidence level B)

D. The high risk of concomitant diseases, such as diabetes mellitus, bone disease and malignancies, needs special consideration.

(Evidence level C)


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