2013 Volume 1 Issue 2 Pages 170-174
Introduction：Recently, the proportion of kidney transplantation for elderly End Stage Renal Disease (ESRD) patients is increasing with an increase in the total number of renal transplant in Nippon. Characteristics and clinical outcomes of recipients aged sixty years and older who underwent living donor kidney transplantation were investigated in this study. Methods：The recipients who underwent living donor kidney transplantation between March 1998 and July 2012 were divided into two groups, according to age at the time of the transplantation：young group (＜60years) and elderly group (≥60years). As clinical outcomes of transplantation, kidney function at one and three years after transplantation, the rate of acute rejection and CMV infection, and patient and death censored graft survival were compared between the two groups. Results：The proportion donor was spouse was significantly higher in the elderly group than in younger group, whereas HLA mismatch number was significantly more in the elderly group. There were no significant difference in kidney function at 1 and 3 years after transplantation, the rate of acute rejection and CMV infection, and patient and death censored graft survival between the two groups. Conclusion： It was suggested that living donor kidney transplantation could be a best treatment modality for the elderly ESRD patients who wish to receive kidney transplantation；the living donor kidney transplantation for elderly patients would yield the equivalent results to young recipients.
