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October 6, 1989

Kidney Transplant Access

JAMA. 1989;262(13):1771. doi:10.1001/jama.1989.03430130045017

To the Editor.—  Access to kidney transplantation has recently come under increased scrutiny.1 The Inspector General's Office and the United Network for Organ Sharing are launching investigations to examine not only the role of race but also of sex and age in patients' access to kidney transplants.Several studies of transplantation in older patients point to good patient and graft survival and good rehabilitation provided that the patient's nonrenal health is good.2,3 Although Eggers4 predicted an increasing shift toward kidney transplantation (and away from dialysis) for patients 25 through 54 years old with end-stage renal disease, he did not predict a similar trend for patients aged 65 years and older or even for patients 55 through 64 years old. Our interviews with dialysis patients in Georgia have found substantial interest in transplantation among older patients. For example, in a 1987 survey5 focusing on patients aged 60