Evaluation and selection of living related kidney donors--our experience in a government hospital.
Article
in English
| IMSEAR
| ID: sea-91256
ABSTRACT
In a state-funded, live related-donor kidney transplantation programme, 616 eligible end stage renal failure (ESRF) patients were seen over a four-year period. 73% of them had potential related donors, 64% of whom were willing to donate. Fear of surgery, non-congenial pre-morbid relationships and discouragement by family members were the most common reasons for unwillingness to donate. After investigations, 76% of the willing donors were found to be fit. ABO incompatibility, lymphocyte cross-match positivity and anatomic abnormalities were the most common grounds for non-acceptance. Sixty eight percent of the willing, fit donors finally donated their kidneys, patient-death and donor-recipient withdrawal before surgery accounting for the remaining. One hundred and forty eight patients underwent renal transplantation. Two-thirds of the donors were females, mothers (37%) forming the single largest group. Eight five percent of the recipients were males. Overall, only 35% of the eligible ESRF patients had related, willing and fit donors attesting to the need for an active, cadaver-donor transplantation programme.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Tissue Donors
/
Female
/
Humans
/
Male
/
Attitude to Health
/
Child
/
Prospective Studies
/
Adolescent
/
Liver Transplantation
/
Patient Selection
Type of study:
Diagnostic study
/
Evaluation studies
/
Observational study
Country/Region as subject:
Asia
Language:
English
Year:
1998
Type:
Article
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