The global role of kidney transplantation

Abstract

World Kidney Day on March 8th 2012 provides a chance to reflect on the success of kidney transplantation as a therapy for end stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost effectiveness. Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end stage kidney disease include the economic limitations which, in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation and vaccination. Even in high income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental and political environments. World Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit. Copyright " 2012 S. Karger AG.",,,,,,"10.1159/000337044",,,"http://hdl.handle.net/20.500.12104/45154","http://www.scopus.com/inward/record.url?eid=2-s2.0-84857128677&partnerID=40&md5=80bb9adb8b36d30895b10fb00d78562a

http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22353691",,,,,,"5",,"Kidney and Blood Pressure Research",,"299

304",,"35",,"Scopus

WOS

MEDLINE",,,,"Index Medicus;Adult;Aged;Female;Global Health/sn [Statistics & Numerical Data];Global Health/td [Trends];Health Care Costs/sn [Statistics & Numerical Data];Health Care Costs/td [Trends];Health Services Accessibility/sn [Statistics & Numerical Data];Health Services Accessibility/td [Trends];Healthcare Disparities/sn [Statistics & Numerical Data];Healthcare Disparities/td [Trends];Humans;Kidney Failure, Chronic/ec [Economics];Kidney Failure, Chronic/mo [Mortality];Kidney Failure, Chronic/su [Surgery];Kidney Transplantation/ec [Economics];Kidney Transplantation/sn [Statistics & Numerical Data];Kidney Transplantation/td [Trends];Male;Middle Aged;Young Adult",,,,,,,,"The global role of kidney transplantation",,"Review" "46940","123456789/35008",,"García-García, G., Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Center (CUCS) Hospital 278, Guadalajara, Jal. 44280, Mexico; Harden, P., Oxford Kidney Unit and Oxford Transplant Center, Churchill Hospital, Oxford, United Kingdom; Chapman, J., Center for Transplant and Renal Research, Westmead Millennium Institute, Sydney University, Westmead Hospital, Sydney, NSW, 2145, Australia",,"García-García, G.

Harden, P.

Chapman, J.",,"2012",,"World Kidney Day on March 8th, 2012, provides a chance to reflect on the success of kidney transplantation as a therapy for end-stage kidney disease that surpasses dialysis treatments, both for the quality and quantity of life, that it provides and for its cost effectiveness. Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end-stage kidney disease include the economic limitations which, in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation and vaccination. Even in high-income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental and political environments. World Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit.",,,,,,,,,"http://hdl.handle.net/20.500.12104/45161","http://www.scopus.com/inward/record.url?eid=2-s2.0-84861942254&partnerID=40&md5=074c60a6d8d0efd105060b7aa1304ca6

http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25013617",,,,,,"1",,"International Journal of Organ Transplantation Medicine",,"1

8",,"3",,"Scopus

MEDLINE",,,,,,"Chronic; Kidney; Renal insufficiency; Transplantation",,,,,,"The global role of kidney transplantation for the World Kidney Day Steering Committee 2012",,"Editorial" "46929","123456789/35008",,"García, G.G., Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Center (CUCS) Hospital, Guadalajara, Mexico; Harden, P., Oxford Kidney Unit and Oxford Transplant Centre, Churchill Hospital, Oxford, United Kingdom; Chapman, J., Centre for Transplant and Renal Research, Sydney University, Westmead Hospital, Sydney, NSW, Australia",,"García, G.G.

Harden, P.

Chapman, J.",,"2012",,"World Kidney Day on March 8th 2012 provides a chance to reflect on the success of kidney transplantation as a therapy for end stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost effectiveness. Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end stage kidney disease include the economic limitations which, in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation and vaccination. Even in high income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental and political environments. World Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit. Copyright " 2012 S. Karger AG, Basel.