Table 3 Factors to consider for transplant evaluation of a patient who is unlikely to outlive the graft, 65 years or older, frail, or cognitively impaired
| Â | % of experts who rated the factor after two rounds as very important or important to consider when listing a KT candidate for transplantation who is: | |||
|---|---|---|---|---|
Factor | Unlikely to outlive the graft | Aged ≥65 years | Frail | Cognitively impaired |
Health Related Quality of Life (HRQOL) | 95% | 95% | 85% | 95% |
Social Support | 50% | 100% | 95% | 100% |
Medication adherence | *** | 100% | *** | 95% |
Low or no frailty* | *** | 95% | *** | *** |
Younger Age | 85% | * | 90% | 70% |
Good functional status* | *** | 100% | *** | *** |
Benefit over dialysis to patient* | 75% | *** | *** | *** |
Low comorbidity burden* | *** | 80% | *** | *** |
No medical contraindications* | *** | 95% | 90% | *** |
Symptoms on dialysis | 60% | *** | 35% | *** |
Dependence in activities of daily living | 40% | 35% | ** | ** |
Race/Ethnicity | ** | ** | ** | ** |
Sex | ** | ** | ** | ** |
Frailty could be reversible or improved (from transplant or prehab) | *** | *** | 95% | *** |
Likelihood for success or benefit from surgery | *** | *** | 95% | *** |
Degree of cognitive impairment (e.g., mild vs. dementia) | *** | *** | *** | 95% |
Cognitive impairment related to ESRD/HD symptoms and not a primary neurocognitive disorder | *** | *** | *** | 75% |