「以老援老」──高齡者的腎臟移植

＂Old for Old＂ -- Kidney Transplantation in the Elderly

郭元銓(Yuan-Chuan Kuo) ； 林柏松(Palk-Seong Lim)

《腎臟與透析》 28卷3期 (2016/09) Pp. 134-137

https://doi.org/10.6340/KD.2016.28(3).07

摘要

在腎臟移植等候名單中，高齡等候者不但為數龐大而且與日俱增。為了滿足越來越大量的移植需求，最近努力的嘗試增加使用高齡捐贈者的器官，就高齡病患接受無論來自於高齡者或年輕者的捐贈腎臟其預後是相似的。放寬捐贈標準的器官縮短高齡病患等待腎臟移植的時間。然而，這樣的轉變，在美國引發了新的爭論和挑戰。移植醫師現在面臨著如何善用配給有限的資源和如何改善移植的長期預後。未來研究方向應探索捐贈者與受贈者如何配對才可以達到最佳的長期預後。

關鍵字

以老援老 ； 高齡 ； 腎臟移植

並列摘要

There is a large and growing representation of older candidates on the kidney transplant waiting list. More recently, efforts to meet the growing demand for transplantation have included the increased use of older donor organs which has similar outcomes to older recipients of younger donor kidneys. The expanded criteria donor policy may decrease the waiting time for kidney transplantation in older recipients. However, the changes in allocation policies in the USA has led to new controversies and challenges. Transplant physicians are now faced with rationing a limited resource and maximizing long-term outcomes for recipients of all ages. Future studies should explore which donor and recipient pairs will achieve the best long-term outcomes.

並列關鍵字

old for old ； the elderly ； kidney transplantation