Transplant Tourism in the United States
Autor: | Alan H. Wilkinson, Gerald S. Lipshutz, Suphamai Bunnapradist, Gabriel M. Danovitch, Jagbir Gill, David W. Gjertson, J. Michael Cecka, Bhaskara R. Madhira, Phuong-Thu T. Pham |
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Rok vydání: | 2008 |
Předmět: |
Adult
Graft Rejection Male Pediatrics medicine.medical_specialty Time Factors Tissue and Organ Procurement Epidemiology medicine.medical_treatment Delayed Graft Function Critical Care and Intensive Care Medicine Single Center Communicable Diseases Risk Assessment California Organ transplantation Living Donors Renal Transplantation medicine Humans Dialysis Kidney transplantation Retrospective Studies Travel Transplantation business.industry Incidence (epidemiology) Graft Survival Retrospective cohort study Middle Aged medicine.disease Kidney Transplantation Tissue Donors Surgery Treatment Outcome surgical procedures operative Nephrology Cohort Female business human activities |
Zdroj: | Clinical Journal of the American Society of Nephrology. 3:1820-1828 |
ISSN: | 1555-9041 |
Popis: | Background and objectives: Transplant “tourism” typically refers to the practice of traveling outside the country of residence to obtain organ transplantation. This study describes the characteristics and outcomes of 33 kidney transplant recipients who traveled abroad for transplant and returned to University of California, Los Angeles (UCLA) for follow-up. Design, settings, participants, & measurements: Posttransplantation outcomes were compared between tourists and a matched cohort of patients who underwent transplantation at UCLA (matched for age, race, transplant year, dialysis time, previous transplantation, and donor type). Median follow-up time was 487 d (range 68 to 3056). Results: Compared with all patients who underwent transplantation at UCLA, tourists included more Asians and had shorter dialysis times. Most patients traveled to their region of ethnicity with the majority undergoing transplantation in China (44%), Iran (16%), and the Philippines (13%). Living unrelated transplants were most common. Tourists presented to UCLA a median of 35 d after transplantation. Four patients required urgent hospitalization, three of whom lost their grafts. Seventeen (52%) patients had infections, with nine requiring hospitalization. One patient lost her graft and subsequently died from complications related to donor-contracted hepatitis B. One-year graft survival was 89% for tourists and 98% for the matched UCLA cohort (P = 0.75). The rate of acute rejection at 1 yr was 30% in tourists and 12% in the matched cohort. Conclusions: Tourists had a more complex posttransplantation course with a higher incidence of acute rejection and severe infectious complications. |
Databáze: | OpenAIRE |
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