Outcome of kidney transplantation from very senior donors in Switzerland – a national cohort study

Kidney transplantation from older and marginal donors is effective to confront organ shortage. However, limitations after of kidneys very kidney remain unclear. We compared patient graft outcome, achieved allograft function quality life renal transplantations Very Senior Donors (VSD, defined as aged 70 years older) with (SD, 60-70 years) Regular (RD, younger than 60 years) in Switzerland. evaluated the outcome 1554 adult recipients deceased donor 05/2008 12/2019; median follow-up was 4.7 years. Failure-free survival (freedom loss or death), glomerular filtration rate (eGFR), at 12 months were analyzed for RD (reference group, n = 940), SD (n = 404), VSD (n = 210). decreased increasing age, mainly attributable premature loss. Still, overall 5-year failure-free reached 83.1%, 81.0%, 64.0% RD, SD, subgroups, respectively. eGFR post-transplantation significantly higher VSD. The acceptance candidates TPL 78% entire cohort (87% 79% 56% VSD). Deceased associated an inferior, yet acceptable sustained life.