Transplant of Elderly Patients Is There an Upper Age Cutoff?

被引：7

作者：

Cottone, Claudia ^{[1
]}

Polanco, Nathalie A. Pena ^{[2
]}

Bhamidimarri, Kalyan Ram ^{[3
]}

机构：

[1] Rosalind Franklin Univ Med & Sci, Dept Internal Med, Northwestern Med McHenry Hosp, 4309 West Med Ctr Dr, Mchenry, IL 60050 USA

[2] Univ Miami, Miller Sch Med, Div Digest Hlth & Liver Dis, 1120 Northwest 14th St,Suite 1105, Miami, FL 33136 USA

[3] Univ Miami, Miller Sch Med, Div Digest Hlth & Liver Dis, 1120 Northwest 14th St,Suite 1144, Miami, FL 33136 USA

来源：

CLINICS IN LIVER DISEASE | 2021年 / 25卷 / 01期

关键词：

Liver transplant; Elderly recipients; Old donors; Age limit; ORTHOTOPIC LIVER-TRANSPLANTATION; CORONARY-ARTERY-DISEASE; PORTOPULMONARY HYPERTENSION; HEPATOCELLULAR-CARCINOMA; RECIPIENTS OLDER; IMMUNE-RESPONSE; OUTCOMES; SURVIVAL; RISK; MORTALITY;

D O I：

10.1016/j.cld.2020.09.001

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Increased life expectancy and advances in the care of chronic liver disease has increased the number of elderly patients needing liver transplant. Organ donation policies prioritize transplant to the sickest. There is an ongoing debate with regard to balancing the principles of equity and utility. Several hospitals have adopted center-specific policies and there has been an increased trend of transplant in elderly patients since 2002. Appropriate patient selection and long-term outcomes in the setting of limited organ availability pose several challenges. This article reviews the data and discusses the pros and cons of transplants in the elderly. © 2020 Elsevier Inc.

引用

页码：209 / 227

页数：19

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