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Kidney - Living donation

Wednesday September 14, 2022 - 14:25 to 15:25

Room: C4

423.5 KPD in STALYC countries

Juliana Bastos, Brazil

Transplant Unit
Santa Casa de Misericórdia de Juiz de Fora


KPD in STALYC countries

David JB Machado PHD2, Juliana Bastos1, Alexandre Pires1, Camila M Assunção1, Vinicius S Colares PHD1, Gustavo F Ferreira PHD1, Elias David-Neto PHD2.

1Transplant Unit, Santa Casa de Misericórdia, Juiz de Fora, Brazil; 2Kidney Transpant Service, Hospital das Clínicas de Universidade de São Paulo, São Paulo, Brazil

Introduction: Kidney paired donation (KPD) represents a strategy for increasing the number of living donor kidney transplants (LDKT), offering an incompatible donor/recipient pair the chance to exchange with another pair in the same situation. In Europe, this kind of transplant currently represents 8% of total LDKT, and in the USA account for 16.2%. This study aimed to evaluate the situation of KPD in the countries affiliated with STALYC.

Methods: We searched for “kidney paired donation”,  “kidney exchange” and each Stalyc countries' names in PubMed. Due to the paucity of results, we extended our search to Scielo and also added the spanish terms: “donacion renal cruzada”, “donacion renal pareada”, “trasplante cruzado” and “trasplante pareado”. We also conducted the exact search on Google.

Results: We found data from 16 out of 25 countries searched, of which 43,7% have laws allowing KPD and 37,5% have a record of KPD activity. Unfortunately, this activity is limited to isolated cases rather than an active program in the vast majority. Data are shown in Table 1.

Conclusion: Kidney transplantation, especially from living donors, is the best and less expensive treatment for end-stage kidney disease. Active KPD programs are scarce in the Stalyc countries. Despite housing 8% of the world's population and being composed mainly of low-to-middle income countries, in Latin America and the Caribbean patients still do not benefit from KPD and, consequently, from its full potential for LDKT.

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