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Kniepeiss, D; Wagner, D; Pienaar, S; Thaler, HW; Porubsky, C; Tscheliessnigg, KH; Roller, RE.
Solid organ transplantation: technical progress meets human dignity: a review of the literature considering elderly patients' health related quality of life following transplantation.
Ageing Res Rev. 2012; 11(1):181-187 Doi: 10.1016/j.arr.2011.06.003
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Leading authors Med Uni Graz
Kniepeiss Daniela
Co-authors Med Uni Graz
Porubsky Christian
Roller-Wirnsberger Regina
Wagner Doris
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Abstract:
Many transplant studies in elderly patients focus on survival and mortality rates. It was the aim of this review to evaluate publications dealing with individual patient performance and independence. The literature search included all articles retrievable for the hit "transplantation in elderly recipients" between 1960 and 2010. For quality search the inclusion criteria were as follows: older than 60 years and transplanted kidney, liver, heart, lung or pancreas from a deceased or living donor. We focussed on parameters concerning quality of life, frailty, nutritional status/weight loss, drugs/interactions/polypharmacy, gait/osteoporosis/fracture, delirium/dementia and geriatric assessment to address physical and psychosocial functionality of elderly recipients. The initial hit list contained 1427 citations from electronic databases. 249 abstracts thereof were selected for full review. A total of 60 articles met final inclusion criteria. Finally, only five studies met the qualitative inclusion criteria as listed above. The number of elderly patients placed on waiting lists has increased dramatically and will further grow. Interdisciplinary collaboration and distinct patient selection is recommended in most of the studies. However, data concerning quality of life and related parameters in elderly transplant recipients are rare. Copyright © 2011 Elsevier B.V. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Frail Elderly - psychology
Humans -
Organ Transplantation - adverse effects Organ Transplantation - psychology Organ Transplantation - trends
Patient Selection - ethics
Postoperative Complications - epidemiology Postoperative Complications - physiopathology Postoperative Complications - psychology
Quality of Life - psychology

Find related publications in this database (Keywords)
Quality of life
Geriatric assessment
Transplantation
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