Before we proceeded with the transplant we were informed that for Manipal Hospital Bangalore this would be a new frontier. The oldest donor they had worked with before was 65 yrs and with my mother-in-law who is 69 yrs old they were not sure. The other possible option was my mother who is 62 yrs old and between the two they prefered my mother-in-law even though she was older due to the fact that the HLA match was better. Actually the match was 4/6 and is considered very good. Even before the surgery they informed us due to this "marginal donor" condition we should be prepared for the following complications -
Recently, I asked our physician that now they have had the experience with a 69 yrs old donor what is their learning - are they proceeding with doing other "marginal donor" transplants or are they reverting back to slightly younger donors. The answer was that the hospital has already gone ahead and done a transplant with a 70 yrs old donor. They are also actively considering 3 other cases which are above 65 yrs.
We felt good hearing this. Having undergone this process we feel that we have contributed in helping few other people as the hospital seems to be more confident in considering slighty older donors than before. Worldwide statistics seem to suggest that a younger donor is always a good option but in case a living, related donor with a good HLA match is available then even if the donor is aged the prognosis is comparable to a younger, unrelated donor.
- Suturing could be a problem due to the calcification of the arteries. This is a normal condition which happens as a person ages.
- The creatinine might settle at a higher value of around 1.8 due to it being an aged kidney needed to function for a younger body
Recently, I asked our physician that now they have had the experience with a 69 yrs old donor what is their learning - are they proceeding with doing other "marginal donor" transplants or are they reverting back to slightly younger donors. The answer was that the hospital has already gone ahead and done a transplant with a 70 yrs old donor. They are also actively considering 3 other cases which are above 65 yrs.
We felt good hearing this. Having undergone this process we feel that we have contributed in helping few other people as the hospital seems to be more confident in considering slighty older donors than before. Worldwide statistics seem to suggest that a younger donor is always a good option but in case a living, related donor with a good HLA match is available then even if the donor is aged the prognosis is comparable to a younger, unrelated donor.
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