Kidney Transplantation in the Elderly with End-stage Renal Disease

F. Han, Jianghua Chen
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Abstract

The incidence of end-stage renal disease (ESRD) increases in the elderly population. Patients received kidney transplantation have better long-term survival and quality of life than those received maintaining dialysis. However, only a smaller proportion of the elderly patients receive kidney transplantation because of the concerns about high posttransplant complications such as infections and diabetes. In this review, we make a discussion on treatment strategies including prophylaxis of risk factors, donor selection, and postoperative monitoring to raise awareness and improve long-term prognosis in the elderly patients with ESRD.
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老年终末期肾病患者的肾移植
终末期肾病(ESRD)的发病率在老年人群中增加。接受肾移植的患者比接受维持透析的患者有更好的长期生存和生活质量。然而,只有较小比例的老年患者接受肾移植,因为担心高移植后并发症,如感染和糖尿病。在这篇综述中,我们讨论了治疗策略,包括预防危险因素、供体选择和术后监测,以提高对老年ESRD患者的认识和改善长期预后。
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