We compared the effect of older recipient age (70 vs <70 yrs) on kidney transplant (KT) outcomes in adult patients (pts) receiving mate kidneys from the same deceased donor. Methods: Single center retrospective review using a paired kidney analysis that controlled for donor factors. Results: From 5/03 to 3/12, we identified 33 cases in which one pt age 70 and the other < age 70 received mate kidneys from the same donor. Mean donor age and BMI were 52 yrs and 27.4 kg/m², respectively, including 19 (58%) ECDs. Mean pt ages were 73.6 and 55.3 years in the two groups. No significant differences were noted in gender (48% vs 33% male), race (27% vs 39% AA), retransplants, mean BMI (26.9 vs 27.3 kg/m²), time on dialysis (30 vs 33 months), or cold ischemia time (24.6 vs 25.1 hrs) in the older and younger pt groups, respectively. Pt (both 94%) and kidney graft survival rates (82% vs 79%) were similar with a mean follow-up of 47 months. Mean length of initial hospital stay (6.4 vs 6.0 days) and rates of DGF (33% vs 24%), acute rejection (18% vs 9%, P=0.45), major infection (18% vs 15%), re-operations (9% vs 0) and readmissions (27% vs 9%, p=0.06) were numerically but not statistically higher in the older vs younger pt groups, respectively. Conclusion: Advanced recipient age has a limited impact on outcomes when controlling for donor factors in a paired kidney analysis.

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