title: Renal Transplantation Using Kidneys Procured From Elderly Donors Older Than 70 Years.
abstract: OBJECTIVE
  A major problem for the transplant society is a shortage of organs for transplantation compared with the number of patients on the waiting list. This study aimed to assess the results of the transplantation of kidneys procured from older donors.
  
  
  METHODS
  A total of 27 kidneys procured from donors age 70 years or older were transplanted between January 1, 2010, and April 25, 2015. These represented only 4.1% of the 657 kidneys transplanted from deceased donors during this period at the same center.
  
  
  RESULTS
  Delayed graft function (DGF) in the recipients of kidneys procured from donors age 70 or older occurred in 46.1% of patients, whereas the recipients of kidneys from younger donors showed DGF at a frequency of 32.7% (P = NS). The annual and 3-year survival rates of kidneys in the study group were 85% and 80%, respectively, and in the control group were 92.5% and 88.6%, respectively (P = NS). According to the Polish National Organ Procurement Organization (Poltransplant), the annual survival rate of a transplanted kidney in Poland stands at 89%, whereas the 3-year survival rate is 82%. We detected no significant posttransplantation differences in the serum creatinine concentration and in the estimated glomerular filtration rate between the study and control groups. The donor age and donor creatinine were the variables independently associated with DGF.
  
  
  CONCLUSIONS
  The results of transplantation of kidneys from elderly donors were comparable to those of transplantation from younger donors. Kidneys harvested from elderly donors should be used for a transplant after a preliminary assessment.
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: A
authors: A
authors: Jozwik
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland. Electronic address: piotr.domagal@gmail.com.
authors: P
authors: P
authors: Domagala
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: R
authors: R
authors: Kieszek
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: M
authors: M
authors: Wszola
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: M
authors: M
authors: Serwanska-Swietek
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: E
authors: E
authors: Karpeta
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: L
authors: L
authors: Gorski
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: M
authors: M
authors: Bieniasz
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: M
authors: M
authors: Jonas
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: A
authors: A
authors: Berman
authors: Departments of Immunology, Transplantology, and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
authors: L
authors: L
authors: Paczek
authors: Departments of Transplantology and Nephrology, Medical University of Warsaw, Warsaw, Poland.
authors: M
authors: M
authors: Durlik
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: A
authors: A
authors: Chmura
authors: Departments of General Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
authors: A
authors: A
authors: Kwiatkowski
mesh_terms: D000368:Aged; D051799:Delayed Graft Function / Q000453:epidemiology*; D005260:Female; D006085:Graft Survival; D006801:Humans; D007677:Kidney Function Tests; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D011044:Poland; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000379:methods*