Impact of donor and recipient age difference on long-term allograft survival after living donor renal transplantation: analysis of 478 cases.


Journal Article

INTRODUCTION: Either deceased or living-related renal transplantation constitutes the best therapeutic option for patients with end-stage renal disease. In this retrospective study, an attempt to identify parameters that affect allograft survival in living donor renal transplantation was made. METHODS: Between January 2000 and July 2012, 478 adult patients received a renal transplant from a living-related donor in our center and their records were retrospectively reviewed in November 2012. Data concerning donor age, recipient age, donor/recipient age difference, donor/recipient gender, and ABO compatibility/incompatibility were recorded and associated with renal allograft survival rate. RESULTS: Renal allograft survival rate was 96%, 89.5%, and 77.7% in the first, fifth, and 10th yr after transplantation, respectively. Only the difference between donor and recipient age was statistically significant in relation to graft survival. In cases with age difference >13 yr, graft survival rate was lower from the third yr onward. CONCLUSIONS: Only the age difference between donor and recipient exerts an adverse impact on graft outcome after living donor renal transplantation, whereas donor age, recipient age, donor/recipient gender, and ABO incompatibility do not significantly influence renal allograft survival.

Full Text

Duke Authors

Cited Authors

  • Kostakis, ID; Moris, DN; Barlas, A; Bokos, I; Darema, M; Theodoropoulou, E; Karaolanis, G; Kostakis, A; Boletis, I; Zavos, G

Published Date

  • November 2013

Published In

Volume / Issue

  • 27 / 6

Start / End Page

  • 838 - 843

PubMed ID

  • 23991890

Pubmed Central ID

  • 23991890

Electronic International Standard Serial Number (EISSN)

  • 1399-0012

International Standard Serial Number (ISSN)

  • 0902-0063

Digital Object Identifier (DOI)

  • 10.1111/ctr.12219


  • eng