![]() ![]() Kidney transplantation should be encouraged in carefully selected older patients and, when possible, with living donor kidney transplantation and short wait-listing time. ![]() Longer dialysis vintage was independently associated with posttransplantation physical decline, and elevated pretransplantation comorbidity score consistently predicted poor HRQoL. ![]() Candidates who did not undergo transplantation remaining on dialysis deteriorated in all HRQoL domains. Recipients who died within 3 years posttransplantation experienced no HRQoL improvement during the first year, indicating that impaired posttransplantation HRQoL may be related to poor outcomes. HRQoL improved substantially in older kidney transplant recipients and the benefit persisted for at least 3 years after transplantation. ![]()
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