Favourable outcomes for the first 10 years of kidney and pancreas transplantation at Wits Donald Gordon Medical Centre, Johannesburg, South Africa

Fabian, June; Maher, Heather; Bentley, Amy R.; Gaylard, P; Crymble, K; Rossi, Barbara; Aucamp, L; Gottlich, Errol; Loveland, Jerome; Botha, J. R.; Britz, R

doi:10.7196/samj.2016.v106i2.10190

Cited by 17 publications

(22 citation statements)

References 13 publications

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“…In their article on the first 10 years of kidney and pancreas transplantation at Wits Donald Gordon Medical Centre, Fabian et al [18] report overall 10-year recipient and graft survival rates of 80.4% and 66.8%, respectively, for kidney-alone transplantation. There is no shortage of potential organ donors in SA, as a visit to any busy trauma unit will testify -translating these into actual donors is where our challenge lies.…”

Section: Transplantation In Samentioning

confidence: 99%

Ed's Choice

Seggie

2016

S Afr Med J

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Section: Transplantation In Samentioning

confidence: 99%

Ed's Choice

Seggie

2016

S Afr Med J

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“…Although transplantation has been widely researched in SA, [12][13][14][15] it has not been studied through the lens of health communication, or utilising methods that lend themselves to exploring the process and impact of communication. Because communication is essential to the transplant process, the rationale for this study was to explore transplant communication in Gauteng.…”

Section: Study Rationalementioning

confidence: 99%

Interprofessional communication in organ transplantation in Gauteng Province, South Africa

2017

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“…The first kidney transplantation operation in SA was performed at the University of the Witwatersrand, Johannesburg, in the old Johannesburg General Hospital in August 1966 [4]. The first transplant operation at the University of Cape Town (UCT), SA, was done in October 1967 and it was performed by Christiaan Barnard, the surgeon who very soon thereafter did the world’s first human heart transplant operation at the same hospital.…”

Section: Back To the Pastmentioning

confidence: 99%

Nephrology in South Africa: Not Yet <b><i>ubuntu</i></b>

2019

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Background: South Africa (SA) is an upper middle-income country with a human immunodeficiency virus (HIV) epidemic, an accelerated burden of non-communicable diseases, and a concurrent epidemic of tuberculosis. These conditions overwhelm a health system struggling under the pressure of restricted resources, including an insufficient workforce. Private practice has become more involved in the care of patients in the country but serves mainly those who are members of a Medical Aid. These Medical Aids will usually cover up to 100% of the costs for management of chronic kidney disease (CKD). Summary: There are currently 2.3 nephrologists per million individuals, which is far lower than the global average and grossly inadequate to meet the nephrology care needs in SA. Covert chronic dialysis rationing has occurred in the public sector since the 1960s. However, the lack of formality triggered the formation of explicit rationing guidelines in one province. These guidelines have been ethically endorsed but not embraced nationally. The demand for hemodialysis (HD) has led some provinces to practicing “PD-First” programs. SA remains one of only 12 countries within Africa that perform renal transplantation, and it is the only country in Africa that relies on deceased donation for the majority of its transplants. The first kidney transplant in SA took place at the University of the Witwatersrand, Johannesburg, in 1966 and the first dialysis was performed by a general practitioner working in a town close to Johannesburg in 1957. The University of Cape Town successfully pioneered the transplantation of kidneys from HIV-positive donors to positive recipients. SA was the second country in the world to form a National Kidney Foundation as well as a renal society. Nephrology training is in place and incorporates master’s and PhD programs in nephrology. Despite the numerous challenges, SA nephrologists have been among the leading researchers in nephrology from the African continent.

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Favourable outcomes for the first 10 years of kidney and pancreas transplantation at Wits Donald Gordon Medical Centre, Johannesburg, South Africa

Cited by 17 publications

References 13 publications

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Interprofessional communication in organ transplantation in Gauteng Province, South Africa

Nephrology in South Africa: Not Yet <b><i>ubuntu</i></b>

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