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4 years). Survival difference was lost when comparing patients ≥50 years (P-value=.42, HR=1.14 [0.83, 1.56], 95% CI). Patients with MM renal failure who underwent KT had equivalent graft and age-matched overall survival compared to the general KT population. Therefore select patients with MM renal failure have potential for excellent KT outcomes, should be considered for transplantation when feasible, and should not be excluded from KT based on a history of MM. Patients with MM renal failure who underwent KT had equivalent graft and age-m