The application of comorbidity scales and the determination of performance status will assist in the assignment of treatment options for end-stage renal disease patients. Age matching of donors and recipients for deceased donor kidney transplantation will balance equity and justice. Recipient surgery is determined by vascular and urinary tract anatomy and function. Immunosuppression is tailored to immunologic competence. Management of post-transplant urologic problems is straightforward. Elderly people should not be automatically disqualified as renal donors.
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