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Solid‐Organ Transplantation in Older Adults: Current Status and Future Research
Author(s) -
Abecassis M.,
Bridges N. D.,
Clancy C. J.,
Dew M. A.,
Eldadah B.,
Englesbe M. J.,
Flessner M. F.,
Frank J. C.,
Friedewald J.,
Gill J.,
Gries C.,
Halter J. B.,
Hartmann E. L.,
Hazzard W. R.,
Horne F. M.,
Hosenpud J.,
Jacobson P.,
Kasiske B. L.,
Lake J.,
Loomba R.,
Malani P. N.,
Moore T. M.,
Murray A.,
Nguyen M.H.,
Powe N. R.,
Reese P. P.,
Reynolds H.,
Samaniego M. D.,
Schmader K. E.,
Segev D. L.,
Shah A. S.,
Singer L. G.,
Sosa J. A.,
Stewart Z. A.,
Tan J. C.,
Williams W. W.,
Zaas D. W.,
High K. P.
Publication year - 2012
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/j.1600-6143.2012.04245.x
Subject(s) - medicine , transplantation , proxy (statistics) , gerontology , intensive care medicine , life span , liver transplantation , kidney transplantation , adverse effect , machine learning , computer science
An increasing number of patients older than 65 years are referred for and have access to organ transplantation, and an increasing number of older adults are donating organs. Although short‐term outcomes are similar in older versus younger transplant recipients, older donor or recipient age is associated with inferior long‐term outcomes. However, age is often a proxy for other factors that might predict poor outcomes more strongly and better identify patients at risk for adverse events. Approaches to transplantation in older adults vary across programs, but despite recent gains in access and the increased use of marginal organs, older patients remain less likely than other groups to receive a transplant, and those who do are highly selected. Moreover, few studies have addressed geriatric issues in transplant patient selection or management, or the implications on health span and disability when patients age to late life with a transplanted organ. This paper summarizes a recent trans‐disciplinary workshop held by ASP, in collaboration with NHLBI, NIA, NIAID, NIDDK and AGS, to address issues related to kidney, liver, lung, or heart transplantation in older adults and to propose a research agenda in these areas.