Table 12 Excerpt 11 Discussion of age in relation to kidney donors

367.

CKD-P7

Is it better to get a kidney from a young person or an older person?

368.

Doc2:

Young.

369.

CKD-P7 :

Is it?

370.

Doc2:

Better for you.

371.

CKD-P7 :

Oh. I was thinking maybe [John(husband)] can give me one of his. My husband. [Laughs]

372.

Doc2:

Yeah, sure, if he wants to.

373.

CKD-P7 :

But he’s old.

374.

Doc2:

How old is he?

375.

CKD-P7 :

He’s three years older than me, four years older than me.

376.

Doc2:

That’s okay. A living kidney, if you’re considering, do I want it from him, he, as you say, is old, compared to waiting for a deceased donor, a living kidney is almost always better than one from someone who’s died.

377.

CKD-P7 :

Okay.

378.

Doc2:

Because it’s taken out from them in a controlled fashion, and then it’s put straight into you.

379.

CKD-P7 :

Yep.

380 omitted

381.

CKD-P7 :

What about the risk of rejection, [John(husband)] or [Charlie(son)], it would be better for me to adapt? Because [Charlie(son)] is like…

382.

DSS02:

Well, [Charlie(son)] is likely to be a better match.

383.

Patient N:

Better match.

384.

Doc2:

Yeah. But we don’t yet know whether you have any antibodies. You may from pregnancy.

385.

CKD-P7 :

Mm.

386.

Doc2:

So we don’t know how hard that side of things would be. [Charlie(son)]’s kidney is likely to be better for you than your husband’s because he’s going to be younger.

387.

CKD-P7 :

Mm.

388.

Doc2:

But I think either would be pretty good.

389.

CKD-P7 :

Okay, because I’m just thinking, leave the young ones alone. We can grow old together with one kidney each. [Laughs]

390.

Doc2:

It’s a reasonable way to think. And also, if that kidney didn’t work out…

391.

CKD-P7 :

Then I’ve still got [Charlie(son)]. [Laughs]

392.

Doc2:

You’ve still got [Charlie(son)] as a backup.

393.

CKD-P7 :

[Laughs]

394.

Doc2:

It’s tough, isn’t it?