The state of kidney transplantation in South Africa
| Autor: | M R Moosa |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Tissue and Organ Procurement Population 030232 urology & nephrology lcsh:Medicine Kidney transplant Health Services Accessibility Organ transplantation South Africa 03 medical and health sciences 0302 clinical medicine medicine Humans education Kidney transplantation Retrospective Studies lcsh:R5-920 education.field_of_study Kidney Public Sector urogenital system business.industry lcsh:R Public sector Retrospective cohort study General Medicine Private sector medicine.disease Kidney Transplantation surgical procedures operative medicine.anatomical_structure Kidney Failure Chronic Private Sector 030211 gastroenterology & hepatology lcsh:Medicine (General) business Demography |
| Zdroj: | South African Medical Journal, Vol 109, Iss 4, Pp 235-240 (2019) SAMJ: South African Medical Journal, Volume: 109, Issue: 4, Pages: 235-240, Published: APR 2019 |
| ISSN: | 2078-5135 0256-9574 |
| Popis: | Background. Kidney transplantation has been performed in South Africa (SA) since 1966. Transplants were initially limited to public hospitals, and the entry of the private sector heralded a new era in organ transplantation. Objectives. To document kidney transplantation in SA and compare numbers, rates, trends and sources of kidneys transplanted in the public and private sectors in SA over 25 years. Methods. National kidney transplant data collected between 1991 and 2015 by the Organ Donor Foundation of South Africa were analysed. The total number of kidneys transplanted in the country was counted and rates were calculated. The numbers and rates in the private and public sectors were compared. The source of donor kidneys and sites where transplants were performed were documented. Results. Over the 25-year period under review, 7 191 kidney transplants were performed in SA. The overall kidney transplant rate was 6.4 per million population (pmp), averaging 4.8 pmp in the public sector and 15.2 pmp in the private sector; 58.3% of the donor kidneys were derived from deceased donors. Cape Town and Johannesburg hospitals performed 75% of the country’s kidney transplants. Conclusions. The overall transplant rate in SA is declining, especially in the public sector. Most kidney transplants in the country were performed in the public sector, and deceased-donor transplants predominated. Discrepancies exist in the allocation of kidneys. Recommendations are made on how the situation may be improved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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