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Table 2 Factors to consider for transplant evaluation

From: Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts

 

Round 1

Round 2

Factors

Rated important or very important, n

%

Rated important or very important, n

%

Frailty

25

100%

*

*

Cognitive Impairment

25

100%

*

*

Cardiovascular disease

24

96%

21

100%

Patient adherence/compliance to treatment

**

**

21

100%

Social support

22

88%

21

100%

Psychosocial issues (e.g. substance abuse)

**

**

21

100%

Surgical complexity (e.g. vascular disease)

**

**

20

95%

Improved QOL or benefit from transplant

**

**

19

90%

Cancer/Infectious history

**

**

19

90%

Patient preference for transplant

**

**

18

86%

Age

20

80%

17

81%

Lack of access to other options (dialysis or living donor)

**

**

18

86%

Number of comorbidities

**

**

17

81%

Obesity/BMI

17

68%

16

76%

Diabetes

17

68%

12

57%

Tolerance to dialysis

12

48%

9

43%

History of previous transplant

11

44%

8

38%

Symptoms associated with kidney disease

10

40%

8

38%

Time on dialysis

9

36%

7

33%

  1. *Experts were not asked to rate frailty and cognitive impairment in round 2 as they were in 100% agreement in the first round
  2. ** New factor that was suggested by ≥2 experts in round 1, then subsequently included in round 2