title: [Kidney transplant in patients over 60 years-old in a Colombian hospital].
abstract: BACKGROUND
  Kidney transplantation is the treatment of choice in patients with end- stage renal disease. Renal transplantation in without fear of ethical conflicts is the best treatment option in the elderly. The objective is to describe the demographic and clinical characteristics of patients over 60 years old with at least one year of renal transplantation in a single center of Colombia.
  
  
  METHODS
  This is a cohort study of patients over 60 years old from a single center in Bogota, Colombia. About 28 patients were analyzed between June 2004 and March 2012.
  
  
  RESULTS
  The mean age was 65 years old, with 89% males. The main cause of chronic kidney disease was diabetic nephropathy, followed by hypertensive nephrosclerosis. Most of them (96.4%) were deceased donor transplants with a mean age of 40 years old, cold ischemia time was 12 hours and there was a mismatch of 3.25 (± 1.29). Major comorbidities were hypertension, diabetes, dyslipidemia, and coronary arterial disease. Almost 17% had delayed graft dysfunction. Serum creatinine at 6 and 12 months was 1.27 mg/dl (± 0.31) and 1.25mg/dl (± 0.33), respectively. Only 10% of patients had acute cellular rejection. Humoral rejections were not documented. The patient survival at 1 year was 89.7%, and death-censored graft survival was 96.4%. The most frequent cause of death was acute myocardial infarction.
  
  
  CONCLUSIONS
  Proper selection of kidney transplant recipients shows satisfactory results in survival, with low morbidity in patients older than 60 years.
authors.affiliation: Especialista en medicina interna y nefrología, Hospital Universitario San Ignacio, Profesora Asistente, Pontificia Universidad Javeriana, Bogotá, Colombia. Electronic address: paolakarina@gmail.com.
authors.forename: Paola Karina
authors.initials: PK
authors.lastname: García
authors.affiliation: Especialista en geriatría, Hospital Universitario San Ignacio, Asociado, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Cano
authors.affiliation: Especialista en medicina interna y nefrología, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Camilo Alberto
authors.initials: CA
authors.lastname: González
authors.affiliation: Especialista en epidemiología y residente de geriatría, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Ronald Leonel
authors.initials: RL
authors.lastname: García
authors.affiliation: Enfermera de la Unidad de trasplante renal, Hospital Universitario San Ignacio, Bogotá, Colombia.
authors.forename: Mady
authors.initials: M
authors.lastname: Arroyave
mesh_terms: D000368:Aged; D015331:Cohort Studies; D003105:Colombia; D005260:Female; D006085:Graft Survival; D006761:Hospitals; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D015996:Survival Rate
keywords: Ancianos; Chronic kidney disease; Elderly; Enfermedad renal crónica; Kidney transplantation; Trasplante renal