Relay kidney transplantation in Korea—legal, ethical and medical aspects

Park, Jong‐Hyun; Park, Joong-Won; Koo, Young-Mo; Kim, Jang Han

doi:10.1016/j.legalmed.2004.04.002

Cited by 9 publications

(7 citation statements)

References 4 publications

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“…56,64 This relay method accounts for approximately 5% of all living donor transplants, with over 60% comprising two-relay exchanges. Although this algorithm might be feasible, it is sustainable only if all donorrecipi ent pairs are open to the concept; waiting times can be up to 1 year, even after donation was made by the donor of the pair.…”

Section: Immunological Implications Of Kidney Donationmentioning

confidence: 99%

Live donor nephrectomy for kidney transplantation

Şener

Cooper

2008

Nat Rev Urol

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The number of patients with end-stage renal disease is increasing substantially every year around the world. Renal transplantation is the best treatment option to improve survival and quality of life. Although the numbers of living, related and deceased transplant donors has also increased, this growth is insufficient to keep up with the expansion rate of the renal failure population. The introduction of laparoscopic donor nephrectomy has gained widespread acceptance by physicians and patients, and seems to be better than open donor nephrectomy in terms of reduced postoperative pain, quick recovery and improved cosmetic outcomes. Evidence strongly suggests that graft survival is similar in recipients of kidneys from living related and unrelated donors. Fortunately, this information has raised awareness of the suitability of potential live, unrelated donors, including spouses, friends, or even anonymous donors. In this Review we touch on sociological aspects of living related kidney transplantation and review the available and proposed methods of increasing the live donor pool, including organ exchange and desensitization protocols for ABO-incompatible and cross-match-positive donor pairs.

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Section: Immunological Implications Of Kidney Donationmentioning

confidence: 99%

Live donor nephrectomy for kidney transplantation

Şener

Cooper

2008

Nat Rev Urol

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“…The Korean relay system expands the concept of single matched pairs to involve multiples up to a reported peak of seven pairs exchanging grafts over a period of time22. Such an outstretched relay may result in a would‐be recipient waiting up to 1 year for transplantation.…”

Section: Korean Relay Transplantationmentioning

confidence: 99%

Paired exchange programmes can expand the live kidney donor pool

Mahendran

Veitch

2007

British Journal of Surgery

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“…Als Fol ge auch des ho hen An teils der Le bend nie ren trans plan ta tionen in die sen Län dern be trägt die durchschnitt li che War te zeit dort für eine Nie re <1 Jahr (z. B. Schweiz, Nie der lan de, Aust ra li en, Ko rea, Skan di na vi sche Län der), [4,6,12,13,14,15,16,17,18] wäh rend es in Deutsch land durch schnitt lich 5-7 Jah re bis zur Trans plan ta ti on dau ert. Stu di en ande rer Län der (z.…”

Section: Introductionunclassified

“…Die se Art der NTX findet z. B. in Ko rea und den Nie der lan den An wen dung, ist aber in Deutsch land gesetz lich nicht er laubt [4,16,17,18,26].…”

Section: Introductionunclassified

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Umfrage zur Überkreuznierentransplantation in Deutschland

Hamza

Loertzer

Wicht

et al. 2006

Urologe

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Due to increasingly better long-term survival rates with dialysis the number of patients with renal failure constantly increases by 4% annually worldwide. Despite great progress in operative and perioperative management as well as improved immunosuppressive drugs, kidney transplantation still faces two major problems. First of all there is a huge deficit of donor organs and secondly the long-term results of the kidney grafts must be improved. One way to relieve this tense situation may be live kidney donation. In many countries not participating in Eurotransplant, especially the United States and Scandinavia, live kidney donation is performed more often than kidney transplantation from deceased donors. Germany implemented a transplantation law in December 1997. This law also regulates living donation, with exclusion of crossover transplantations. Cross-over transplantation is a special variation of live donation for couples who cannot donate/receive in their respective couple constellation. Therefore, the donor of the one couple donates his/her kidney to the recipient of the other couple and vice versa. According to German legislation this is illegal. We performed a study in order to evaluate the opinions of the German kidney transplant centers on crossover kidney transplantations. The majority of the German transplantation centers believe that crossover transplantation is acceptable with regard to ethical and medical concerns. To enable this kind of kidney transplantation the transplantation law would have to be changed. Nevertheless, nationwide polls show that live kidney donation represents only a very small portion of all transplantations taking place. Live kidney donation should be granted higher priority as dialysis triggers psychological and physical damage, especially in children. For many patients live kidney donation is the only chance for early transplantation with an excellent long-lasting kidney graft function.

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Relay kidney transplantation in Korea—legal, ethical and medical aspects

Cited by 9 publications

References 4 publications

Live donor nephrectomy for kidney transplantation

Live donor nephrectomy for kidney transplantation

Paired exchange programmes can expand the live kidney donor pool

Umfrage zur Überkreuznierentransplantation in Deutschland

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