Outcomes of Renal Patients from the Ivory Coast Transplanted Abroad: Time for a Local Kidney Transplantation Program

Ackoundou-N’Guessan, Clément; Gnionsahe, D.A.; Dékou, A; Tia, W.M.; Guei, Cyr Monley; Moudachirou, A.M.

doi:10.1016/j.transproceed.2010.08.048

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…The medical community has condemned transplant tourism stating that it is immoral, unfair, and also dangerous . Most studies included patients who sought transplantation in developing countries and in China . Patients who underwent transplantation abroad showed poorer outcomes that were attributed to infections, malignancy transmitted with organs, and poor standards of medical care.…”

Section: Discussionmentioning

confidence: 99%

Travel for transplantation and transplant commercialism in Argentina: a 4‐decade experience from a University Hospital

Rodriguez-Reimundes

Soler-Pujol

Díaz

et al. 2014

Clinical Transplantation

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Travel for transplantation and transplant commercialism have become major issues in the last years, generating a passionate medical, legal, and ethical debate. We evaluated the general characteristics of patients who received a kidney transplant abroad and were subsequently followed in our institution. Then, we carried out a retrospective analysis of travelers' outcomes and compared them with a matched cohort of patients transplanted in our center. Between 1971 and 2008, 58 kidney transplants were performed outside Argentina and were subsequently followed up at our institution. The main destinations were the USA (32.8%), Bolivia (29.3%), and Brazil (17.2%). Deceased donor transplants were the most common (53.4%) followed by unrelated living donors (32.8%). No difference was observed between travelers and controls in terms of one-month and one-yr renal function and one-yr and five-yr graft survival. Travelers had significantly less time on dialysis before transplantation than controls. The major destination among all travelers was the USA, and the main destination for commercial transplants was Bolivia. The destination countries involved in our study and the apparent non-inferiority of travelers graft outcomes differ from those of previous reports.

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Section: Discussionmentioning

confidence: 99%

Travel for transplantation and transplant commercialism in Argentina: a 4‐decade experience from a University Hospital

Rodriguez-Reimundes

Soler-Pujol

Díaz

et al. 2014

Clinical Transplantation

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“…It is important that accurate data on outcomes of transplants carried out abroad are known so that patients can be counselled about such activity [24,42] . The outcome of recipients of organs through TT is reported to be inferior to those transplanted under ethically more acceptable conditions (Table 2) [5,6,23,25,[41][42][43][44][45][46][47][48][49][50][51][52][53][54] .…”

Section: Transplant Outcomementioning

confidence: 99%

“…Analysis of 16 renal patients from the Ivory Coast transplanted abroad between 1995 and 2009 showed an overall graft survival was 93% at 1 year and 80% at 5 years. Not only did five of their 16 patients die during the study period but the remaining had inadequate follow up because they were unable to afford it [45] .…”

Section: Transplant Outcomementioning

confidence: 99%

Key issues in transplant tourism

Akoh¹

2012

WJT

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“…In Côte d'Ivoire, before the implementation of the law authorizing organs donation, several patients were transplanted abroad with sometimes disastrous consequences [5]. Indeed, mortality rate was high after the patient return due to financial issues, which made the medical follow-up a burden.…”

Section: Introductionmentioning

confidence: 99%

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire

Lagou¹,

Coulibaly²,

Nigué³

et al. 2017

OJNeph

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Background: Kidney Transplantation is the best treatment for patients in end stage renal disease. It's a new therapeutic approach for such patients in Cote d'Ivoire which is expected to develop. Aim: Determine the adherence factors affecting kidney transplant recipient among patients on maintenance haemodialysis in Cote d'Ivoire and point out possible obstacles to the development of this new practice in the country. Patients and Methods: This was a cross-sectional study carried out from May to June 2016 in the Haemodialysis Centres of Abidjan. Any patient aged ≥18 years, on haemodialysis for at least 6 months, who signed the inform consent were subjected to a questionnaire. None of the respondents had been transplanted. The subjects addressed in the document were sociocultural status, opinion related to kidney transplantation and willingness to be transplanted or not and the reasons. A statistical analysis was performed to determine factors associated with kidney transplantation desire. Results: We included 295 (71.53% males) patients, with a mean age of 44.53 ± 12.09 years. Among this population, 36.61% had a higher level of education, 70.85% were Christians, 66.44% lived with partners, 56.61% had no income and 74.92% were treated in Public Health Centres. The median duration on dialysis was 34 months. A total of 287 (97.29%) patients had already heard of kidney transplantation among which 149 (51.94%) for the first time after initiation of haemodialysis. There was 231 (78.31%) patients willing to be transplanted with only 91 (39.39%) of them having a potential living donors. The main motivations were the desire to stop dialysis (52.38%) and the search for a better quality of life (41.13%). Among the 64 (21.69%) patients unfa- vourable to renal transplantation, 45.31% raised its higher cost compared to haemodialysis. Duration on haemodialysis (>34 months) was significantly higher in patients willing to be transplanted compare to non-applicants (51.95% versus 37.50%, p < 0.04). Factors associated with renal transplantation willingness were younger age (<45 years) (OR = 2.14 CI: 1.12 -4.06 p = 0.02), longer median duration on dialysis (>34 months) (OR = 2.12 CI: 1.15 -3.88 p = 0.01) and the Christian religion (OR = 0.43 CI: 0.20 -0.92 p = 0.03). Conclusion: Almost all patients on maintenance haemodialysis were willing to be transplanted. However, the rate of living donor remains insufficient. For the non-seekers, the high cost of the process remains the main obstacle to kidney transplantation. Transplantation should be given more attention and political support economically by the Government to allow its development in Cote d'Ivoire.

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Outcomes of Renal Patients from the Ivory Coast Transplanted Abroad: Time for a Local Kidney Transplantation Program

Cited by 8 publications

References 11 publications

Travel for transplantation and transplant commercialism in Argentina: a 4‐decade experience from a University Hospital

Travel for transplantation and transplant commercialism in Argentina: a 4‐decade experience from a University Hospital

Key issues in transplant tourism

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire

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Outcomes of Renal Patients from the Ivory Coast Transplanted Abroad: Time for a Local Kidney Transplantation Program

Cited by 8 publications

References 11 publications

Travel for transplantation and transplant commercialism in Argentina: a 4‐decade experience from a University Hospital

Travel for transplantation and transplant commercialism in Argentina: a 4‐decade experience from a University Hospital

Key issues in transplant tourism

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in C&#244;te d’Ivoire

Contact Info

Product

Resources

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Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire