Figure 1241

Donor age. When there are no suitable living donors, recipients are placed on the cadaveric waiting list. The transplantation center must always decide whether a particular cadaveric kidney being offered for transplantation is suitable for the individual recipient. The shortage of organs and long waiting times have caused many centers to accept kidneys from older donors and kidneys that may be damaged. Data from the United Network for Organ Sharing clearly demonstrate the decreased graft survival rates of kidneys from older donors. As a compromise, some advocate using kidneys from older donors for older recipients. In any case, so-called marginal kidneys should be offered to recipients with appropriate informed consent. (From Cecka [3]; with permission.)

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