Introduction:In Mexico, heart transplants (HTs) have been performed since 1988. Objective: To review Mexican productivity in terms of HT between 2006 and 2019 and compare it with that of American and Iberian Peninsula countries. Methods: Mexican information was collected from HT waiting lists (WL) and from the HTs carried out annually in the period, and was expressed as rates per million population (pmp); 2019 information was compared with that reported at the Pan American and Iberian levels. Results: In the studied period, the rate of HTs in Mexico went from 0.12 pmp in 2006 to 0.25 pmp in 2019, with HTs accounting for between 1 and 2% of all solid organ transplants. Among 13 countries, in 2019 Mexico ranked 12 th in the HT rate pmp and 11 th in the rate of patients registered for the first time in the WL for a heart (0.42 pmp). Between 2016 and 2019, only one authorized Mexican center reached a volume higher than 10 HT/year. Conclusions: Given the low figures in the main indicators related to HT in Mexico, it is urgent to rethink health policies in heart failure and HT.
Resultados: 1) La tasa de donación cadavérica de México en 2007 fue de 3.2 donaciones por millón de población (pmp), y en 2017 fue de 3.94 pmp (incremento del 23.1%). La tasa de 2017 está muy por debajo de la media reportada para América Latina (9.5 pmp). 2) El número de pacientes en espera de trasplante de un órgano sólido pasó de 4,993 en 2007 a 15,448 en 2018 (incremento del 309%). 3) En 2017, México reportó tener 255 centros autorizados para trasplante renal, más que cualquier país en el mundo. Para el caso de otros órganos, como hígado, corazón, pulmón y páncreas, México es el país que tiene más centros autorizados en América Latina. Conclusión: La evolución de las cifras de donación cadavérica y de trasplante de órganos sólidos en el período de estudio explica una escasez cada vez mayor de órganos para trasplante en México, a pesar de una aparente gran capacidad instalada. El sistema nacional de donación y trasplante de órganos es ineficaz e ineficiente.
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