117933 20221004075831.0 doi 10.1111/tri.13125 sideral 105889 ART-2018-105889 eng Pippias, M. Access 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 2018 Access copy available to the general public Unrestricted To 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. info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.526 2018 SURGERY 31 / 203 = 0.153 2018 Q1 T1 TRANSPLANTATION 8 / 25 = 0.32 2018 Q2 T1 1.296 2018 Transplantation 2018 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Stel, V.S. Kramer, A. Abad Diez, J.M. Universidad de Zaragoza (orcid)0000-0001-9466-3902 Aresté-Fosalba, N. Ayav, C. Buturovic, J. Caskey, F.J. Collart, F. Couchoud, C. De Meester, J. Heaf, J.G. Helanterä, I. Hemmelder, M.H. Kostopoulou, M. Noordzij, M. Pascual, J. Palsson, R. Reisæter, A.V. Traynor, J.P. Massy, Z. Jager, K.J. 1008 615 Universidad de Zaragoza Dpto. Microb.Med.Pr.,Sal.Públ. Área Medic.Prevent.Salud Públ. 31, 5 (2018), 540-553 Transpl. int. TRANSPLANT INTERNATIONAL 0934-0874 833688 http://zaguan.unizar.es/record/117933/files/texto_completo.pdf Postprint 2385742 http://zaguan.unizar.es/record/117933/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:117933 articulos driver 2022-10-03-13:16:30 ARTICLE