ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Use of Modified Geriatric Assessment in Evaluation of Older Adults for Kidney Transplant Suitability.

K. Campbell,1 F. Enger, E. Patrick,2 M. Saunders,3 M. Josephson,1 Y. Becker.2

1Medicine, University of Chicago, Chicago, IL
2Kidney Transplant, University of Chicago, Chicago, IL
3Hospital Medicine, University of Chicago, Chicago, IL

Meeting: 2017 American Transplant Congress

Abstract number: D296

Keywords: Elderly patients, Kidney transplantation

Session Information

Date: Tuesday, May 2, 2017

Session Name: Poster Session D: Non-Organ Specific: Economics, Public Policy, Allocation, Ethics

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall D1

Related Abstracts
  • Is the Pulsatile Kidney Preservation Machine a Vaulable Tool in Evaluating Kidney Suitability from Older Donors After Brain Death?
  • Trends in Liver Transplantation Among Older Adults with ESLD.

Background

There is an increasing incidence and prevalence of older adults with ESRD. Per guideline recommendations, many of these patients are now being considered for kidney transplant. At the University of Chicago, we have developed a geriatric assessment clinic for all older patients referred for kidney transplant. The results of this assessment are presented to the transplant multidisciplinary team to determine patient suitability for transplant.

Methods

Retrospective observational data collection of adults age >50 seen for pre-kidney transplant geriatric assessment in 2012-2016.

Results

Between January 1, 2012 and January 1, 2016, 173 patients underwent pre-transplant geriatric assessment to evaluate for suitability for kidney transplant. Of the patients who were evaluated, 119 had complete evaluation and waitlist status. Mean age was 71.01 (SD 4.66). A majority of patients were male n= 100 (57.8%) and non-white n= 130 (75.1%). Patients had multiple comorbidities including peripheral vascular disease n=24 (17.1%), congestive heart failure n=16 (11.4%), coronary artery disease n=43 (30.7%), hypertension n=120 (85.7%), diabetes n=88 (62.9%), atrial fibrillation n=19 (13.6%), and a history of malignancies n=18 (12.9%). Geriatric assessment for cognition used the Mini-Mental State Exam score mean 27 (SD 2) , for mood used the Geriatric Depression Scale, mean score 1 (SD 2), and for gait speed in seconds per 10 ft with normal speed < 10 seconds n=95 (81.9%), moderate slowing 11-15 seconds n=12 ( 10.3%) and severe slowing >15 seconds n=9 (7.8%). Recommendations made from the first evaluation based on medical comorbidities and geriatrics assessment were as follows: good candidate n=68, fair candidate n=3, and poor candidate n=11. Currently, 35 patients (29.4%) are active on the waitlist or have been transplanted.

Conclusion

We have successfully integrated a geriatric assessment model of care into the evaluation process for kidney transplant for all older adults at the University of Chicago. Most patients being referred for geriatric assessment are considered appropriate for kidney transplant. Patients are followed annually to identify changes in health, functional, or cognitive status and reassessment for appropriateness for transplant.

CITATION INFORMATION: Campbell K, Enger F, Patrick E, Saunders M, Josephson M, Becker Y. Use of Modified Geriatric Assessment in Evaluation of Older Adults for Kidney Transplant Suitability. Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Campbell K, Enger F, Patrick E, Saunders M, Josephson M, Becker Y. Use of Modified Geriatric Assessment in Evaluation of Older Adults for Kidney Transplant Suitability. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/use-of-modified-geriatric-assessment-in-evaluation-of-older-adults-for-kidney-transplant-suitability/. Accessed January 18, 2021.

« Back to 2017 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes
  • How To Handle a Missed or Delayed Dose Intake? A Pharmacokinetic Study of Cyclosporine and Tacrolimus in Renal Transplant Patients
  • Hyperkalemia in the Early Post Renal Transplant Period

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.