Living Donor Kidney Transplantation: Why Potential Donors and Recipients do not Achieve it. Malatya Algorithm

Simsek A., Doğan S. M., Gurbu H., Ulutaş Ö., Altunışık Toplu S., Turgut A., ...More

REVISTA DE NEFROLOGIA DIALISIS Y TRASPLANTE, vol.40, no.4, pp.304-310, 2020 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 40 Issue: 4
  • Publication Date: 2020
  • Journal Name: REVISTA DE NEFROLOGIA DIALISIS Y TRASPLANTE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.304-310
  • Keywords: kidney transplant, living kidney donor, STAGE RENAL-DISEASE
  • Inonu University Affiliated: Yes

Abstract

Introduction: In some countries, organ donation is not widespread enough due to medical, cultural, ethical and socioeconomic factors. Living-donor kidney transplant constitutes the main source of kidney donation. Aim: To evaluate the causes of cancellation of living-donor kidney transplant and improve the effectiveness of transplant programs. Methods: Medical records of possible donors and recipients who were evaluated for living-donor kidney transplant at a tertiary medical center between November 2010 and September 2019 were reviewed retrospectively. Results: Evaluations were performed on 364 potential donors and 338 living-donor kidney transplant recipients; 207 of the latter (61.24%) underwent living-donor kidney transplant. Immune disorders represented the majority of cancellations (38.84%). Fifty-six donors (15.38%) were rejected mainly due to renal disorders (39%). Conclusion: Timely referral of patients to transplant centers must be guaranteed in order to overcome immune problems. Transplant centers should invest in programs adequate both for their resources and for their patients: paired kidney exchange, desensitization protocols, future research, etc.