Effect of preimplantation histologic assessment on long-term outcomes of kidneys from older donors
Akinlolu O Ojo
Correspondence Division of Nephrology, Department of Internal Medicine, University of Michigan, 3914 Taubman Center, 1500 E Medical Center Drive, Ann Arbor, MI 48109–0364, USA
Email aojo@umich.edu
This article has no abstract so we have provided the first paragraph of the full text.
Expanded utilization of kidneys from older deceased donors is a necessary and common consequence of the huge imbalance between the limited numbers of organ donors and the ever-increasing population of patients with end-stage renal disease who are candidates for transplantation. As older people and other so-called 'marginal donors' constitute an increasing fraction of the donor pool, it has become important to optimize the use of organs from such donors, which would have been discarded in an ideal situation of abundancy. To this end, the 'expanded criteria donor' allocation policy for deceased-donor kidneys was implemented in 2002 in the US.1, 2 This policy is based on a dichotomous organ-quality grading system that is derived from a limited number of clinical criteria.
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