000117933 001__ 117933 000117933 005__ 20221004075831.0 000117933 0247_ $$2doi$$a10.1111/tri.13125 000117933 0248_ $$2sideral$$a105889 000117933 037__ $$aART-2018-105889 000117933 041__ $$aeng 000117933 100__ $$aPippias, M. 000117933 245__ $$aAccess to kidney transplantation in European adults aged 75–84 years and related outcomes: an analysis of the European Renal Association–European Dialysis and Transplant Association Registry 000117933 260__ $$c2018 000117933 5060_ $$aAccess copy available to the general public$$fUnrestricted 000117933 5203_ $$aTo what extent access to, and allocation of kidney transplants and survival outcomes in patients aged =75 years have changed over time in Europe is unclear. We included patients aged =75–84 years (termed older adults) receiving renal replacement therapy in thirteen European countries between 2005 and 2014. Country differences and time trends in access to, and allocation of kidney transplants were examined. Survival outcomes were determined by Cox regression analyses. Between 2005 and 2014, 1392 older adult patients received 1406 transplants. Access to kidney transplantation varied from ~0% (Slovenia, Greece and Denmark) to ~4% (Norway and various Spanish regions) of all older adult dialysis patients, and overall increased from 0.3% (2005) to 0.9% (2014). Allocation of kidney transplants to older adults overall increased from 0.8% (2005) to 3.2% (2014). Seven-year unadjusted patient and graft survival probabilities were 49.1% (95% confidence interval, 95% CI: 43.6; 54.4) and 41.7% (95% CI: 36.5; 46.8), respectively, with a temporal trend towards improved survival outcomes. In conclusion, in the European dialysis population aged =75–84 years access to kidney transplantation is low, and allocation of kidney transplants remains a rare event. Though both are increasing with time and vary considerably between countries. The trend towards improved survival outcomes is encouraging. This information can aid informed decision-making regarding treatment options. 000117933 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000117933 590__ $$a3.526$$b2018 000117933 591__ $$aSURGERY$$b31 / 203 = 0.153$$c2018$$dQ1$$eT1 000117933 591__ $$aTRANSPLANTATION$$b8 / 25 = 0.32$$c2018$$dQ2$$eT1 000117933 592__ $$a1.296$$b2018 000117933 593__ $$aTransplantation$$c2018$$dQ1 000117933 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion 000117933 700__ $$aStel, V.S. 000117933 700__ $$aKramer, A. 000117933 700__ $$0(orcid)0000-0001-9466-3902$$aAbad Diez, J.M.$$uUniversidad de Zaragoza 000117933 700__ $$aAresté-Fosalba, N. 000117933 700__ $$aAyav, C. 000117933 700__ $$aButurovic, J. 000117933 700__ $$aCaskey, F.J. 000117933 700__ $$aCollart, F. 000117933 700__ $$aCouchoud, C. 000117933 700__ $$aDe Meester, J. 000117933 700__ $$aHeaf, J.G. 000117933 700__ $$aHelanterä, I. 000117933 700__ $$aHemmelder, M.H. 000117933 700__ $$aKostopoulou, M. 000117933 700__ $$aNoordzij, M. 000117933 700__ $$aPascual, J. 000117933 700__ $$aPalsson, R. 000117933 700__ $$aReisæter, A.V. 000117933 700__ $$aTraynor, J.P. 000117933 700__ $$aMassy, Z. 000117933 700__ $$aJager, K.J. 000117933 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ. 000117933 773__ $$g31, 5 (2018), 540-553$$pTranspl. int.$$tTRANSPLANT INTERNATIONAL$$x0934-0874 000117933 8564_ $$s833688$$uhttps://zaguan.unizar.es/record/117933/files/texto_completo.pdf$$yPostprint 000117933 8564_ $$s2385742$$uhttps://zaguan.unizar.es/record/117933/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint 000117933 909CO $$ooai:zaguan.unizar.es:117933$$particulos$$pdriver 000117933 951__ $$a2022-10-03-13:16:30 000117933 980__ $$aARTICLE