VIENNA — The use of expanded-criteria donors for kidney transplantation in older and high-risk recipients did not provide the same survival benefit as the use of standard donors, according to an analysis of data from more than 64,000 individuals in the European Renal Association (ERA) Registry , using target trial emulation.

“When determining who is a suitable transplant candidate, we shouldn’t only focus on the patient alone, because the outcomes will also depend on donor quality,” said study presenter Rachel Hellemans, MD, PhD, a nephrologist at Antwerp University Hospital, Belgium.

“Of course, ideally, we would like to give a transplant to everyone, but shortage is a reality,” she continued.

The possibilities for older patients to receive a standard-criteria donor kidney depend o

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