title: Long-term outcomes of elderly kidney transplant recipients.
abstract: BACKGROUND
  The number of elderly patients with chronic kidney disease increases progressively, challenging the allocation algorithms in a scenario of organ shortage for transplantation.
  
  
  OBJECTIVE
  To evaluate the impact of age on patient and graft survival.
  
  
  METHODS
  Evolution of all 366 patients greater than 60 years transplanted between 1998 and 2010 was analyzed versus a control group of 366 younger patients matched for gender, type of donor (living or deceased) and year of transplantation.
  
  
  RESULTS
  Diabetes mellitus (HR 1.8; IC 1.2-2.6; p = 0,003) and prioritization (HR 2.9; IC 1.2-2.6; p < 0,001), but not age, were independent factors for kidney graft loss.
  
  
  CONCLUSIONS
  Advanced age was not related to negative outcomes after kidney transplantation, after excluding recipient death as a cause of allograft loss. Higher mortality rate in this group was associated to a higher frequency of comorbidities, especially diabetes mellitus.
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Paula Ferreira
authors.initials: PF
authors.lastname: Orlandi
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Marina Pontello
authors.initials: MP
authors.lastname: Cristelli
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Carolina Araujo Rodrigues
authors.initials: CA
authors.lastname: Aldworth
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Taina Veras de Sandes
authors.initials: TV
authors.lastname: Freitas
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Claudia Rosso
authors.initials: CR
authors.lastname: Felipe
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Helio Tedesco
authors.initials: HT
authors.lastname: Silva Junior
authors.affiliation: Hospital do Rim, Brazil.
authors.forename: Jose Osmar Medina de Abreu
authors.initials: JO
authors.lastname: Pestana
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D015331:Cohort Studies; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult