Rao Venkateswara K
Hennepin County Medical Center, Minneapolis, Minnesota 55415, USA.
Drugs Aging. 2002;19(2):79-84. doi: 10.2165/00002512-200219020-00001.
The proportion of older patients accepted for dialysis is increasing every year both in the US and abroad. Of the two treatment modalities for end-stage renal disease, i.e. dialysis and transplantation, the latter offers more freedom and is associated with better clinical outcome. Most elderly patients seem to have excellent functional rehabilitation after a kidney transplant. However, in view of the wide gap between the availability of cadaver organs and the people in need, giving the precious organ to the elderly who have a shorter expected lifespan may present an ethical problem. Therefore, it has become increasingly important to offer the kidney to only those who have no significant comorbid conditions or other high risk factors, so as to improve the odds of success after renal transplantation.
在美国和国外，接受透析治疗的老年患者比例每年都在增加。对于终末期肾病的两种治疗方式，即透析和移植，后者提供了更多的自由，并且与更好的临床结果相关。大多数老年患者在肾移植后似乎有良好的功能康复。然而，鉴于尸体器官的可获得性与有需求的人群之间存在巨大差距，将珍贵的器官给予预期寿命较短的老年人可能会带来伦理问题。因此，只将肾脏提供给那些没有严重合并症或其他高风险因素的人变得越来越重要，以便提高肾移植后的成功率。
