Age Disparities in Access to First and Repeat Kidney Transplantation.

ABSTRACT:

Background

Evidence suggests that older patients are less frequently placed on the waiting list for kidney transplantation (KT) than their younger counterparts. The trends and magnitude of this age disparity in access to first KT and repeat KT (re-KT) remain unclear.

Methods

Using the US Renal Data System, we identified 2 496 743 adult transplant-naive dialysis patients and 110 338 adult recipients with graft failure between 1995 and 2018. We characterized the secular trends of age disparities and used Cox proportional hazard models to compare the chances of listing and receiving first KT versus re-KT by age (18-64 y versus ≥65 y).

Results

Older transplant-naive dialysis patients were less likely to be listed (adjusted hazard ratio [aHR] = 0.18; 95% confidence interva

SUBMITTER: Chen Y 

PROVIDER: S-EPMC10830888 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature