Evaluation of the Eurotransplant Senior Program. The Results of the First Year
Open Access
- 1 August 2002
- journal article
- Published by Elsevier BV in American Journal of Transplantation
- Vol. 2 (7), 664-670
- https://doi.org/10.1034/j.1600-6143.2002.20713.x
Abstract
On 4 January 1999, the Eurotransplant Senior Program (ESP) was implemented within the Eurotransplant kidney allocation scheme. Patients and Methods: Kidneys obtained from donors aged over 65 years of age (65 +) were allocated to a selected group of nonimmunized 65 + patients undergoing their first transplant. All transplants were performed locally to minimize cold‐ischemic time. All transplants performed with kidneys from elderly donors that were allocated via ESP (ESP group) were compared to transplants performed with similar kidneys allocated via the standard renal allocation system (control group). Initial kidney function and 1‐year graft outcome were assessed. Results: In 1999, 227 ESP and 102 control transplants were performed. The duration of cold‐ischemic time was 12 and 19 h for the ESP and control groups, respectively. No rejection episodes occurred in 60% and 67% of the ESP patients and controls, respectively, while a direct kidney function was observed in 59% of ESP and 49% of control patients. The 1‐year graft survival rates, censoring for graft losses due to deaths in patients with functioning grafts, were 86% and 79%, respectively. Conclusion: An old‐for‐old renal allocation algorithm can be successful provided that risk factors, such as cold‐ischemic time, are reduced.Keywords
This publication has 25 references indexed in Scilit:
- DOUBLE VERSUS SINGLE RENAL ALLOGRAFTS FROM AGED DONORSTransplantation, 2000
- EditorialThe Journal of Heart and Lung Transplantation, 1999
- Expanded criteria donors and dual kidney transplantationTransplant International, 1998
- Expanded criteria donors and dual kidney transplantationTransplant International, 1998
- ANALYSIS OF THE RENAL TRANSPLANT WAITING LISTTransplantation, 1998
- Dual renal grafts: expansion of the donor pool from an overlooked sourceTransplant International, 1998
- Dual renal grafts: expansion of the donor pool from an overlooked sourceTransplant International, 1998
- A REVIEW OF THE KIDNEYS THAT NOBODY WANTEDTransplantation, 1998
- LONG-TERM GRAFT OUTCOME IS NOT NECESSARILY AFFECTED BY DELAYED ONSET OF GRAFT FUNCTION AND EARLY ACUTE REJECTION1Transplantation, 1997
- Renal-transplantation In older patientsThe Lancet, 1994