Transplant tourism following the declaration of Istanbul: Poor outcomes and nephrologist dilemma
| Autor: | Khalid Bel’eed-Akkari, Fahad E AlOtaibe, Meteb M AlBugami, Abdulnaser Alabadi, Khaled Hamawi |
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| Rok vydání: | 2018 |
| Předmět: |
Nephrology
medicine.medical_specialty business.industry 030232 urology & nephrology Medical tourism Declaration Retrospective cohort study General Medicine Emergency department 030230 surgery medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine business Risk assessment Health policy Kidney transplantation Demography |
| Zdroj: | Nephrology. 23:1139-1144 |
| ISSN: | 1320-5358 |
| DOI: | 10.1111/nep.13181 |
| Popis: | Background Transplant tourism (TT) violates many international laws and documents. Despite all efforts, TT seems to be increasing. The aim of this study is to review outcomes of recipients of commercially transplanted kidneys since the Declaration of Istanbul. Methods All recipients of kidney transplantation done abroad and then returned to our center, from September 2008 to December 2015, were included (tourists). Demographics and outcomes were collected from patients' charts. All data were compared with all recipients of living donor kidney transplants done at our center (locals). Results A total of 86 tourists and 365 locals were included. Both groups had similar age and gender. Re-grafting rates were the same, however, more preemptive transplants were done abroad. TT was increasing over time. Tourists presented early after TT, median 17.5 (IQR 7 - 30) days, and 47.7% were encountered initially in the emergency department. 1-year graft and patient survivals were significantly lower among tourists compared with locals (87.2% vs. 98.0%, P |
| Databáze: | OpenAIRE |
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