Initial Report of the Korean Organ Transplant Registry: The First Report of National Kidney Transplantation Data

被引:35
作者
Ahn, C. [1 ]
Koo, T. Y. [1 ]
Jeong, J. C. [1 ]
Kim, M. [2 ]
Yang, J. [1 ]
Lee, J. [3 ]
Min, S. I. [1 ]
Lee, J. E. [1 ]
Kim, M. S. [4 ]
Kwon, O. J. [5 ]
Kim, S. J. [6 ]
Kim, Y. H.
Kim, Y. H.
Choi, B. S. [7 ]
Choi, S. J. N. [8 ]
Lee, D. -H. [9 ]
Chung, S. Y. [8 ]
Cho, W. H. [10 ]
Kim, Y. S. [4 ]
机构
[1] Seoul Natl Univ Hosp, Transplantat Ctr, Seoul 110744, South Korea
[2] Korea Univ, Dept Internal Med, Anam Hosp, Seoul, South Korea
[3] Seoul Natl Univ, Coll Med, Seoul Natl Univ Hosp, Med Res Collaborating Ctr, Seoul, South Korea
[4] Yonsei Univ, Coll Med, Dept Surg, Severance Hosp, Seoul, South Korea
[5] Hanyang Univ Hosp, Dept Surg, Seoul, South Korea
[6] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, Seoul, South Korea
[7] Catholic Univ Korea, Dept Internal Med, Seoul, South Korea
[8] Chonnam Natl Univ, Dept Surg, Sch Med, Seoul, South Korea
[9] Korea Ctr Dis Control & Prevent, Ctr Dis Prevent, Seoul, South Korea
[10] Keimyung Univ, Div Transplant & Vasc Surg, Dept Surg, Sch Med, Seoul, South Korea
关键词
EXPANDED CRITERIA DONORS; RENAL-TRANSPLANTATION; RECIPIENTS; DONATION; TRENDS;
D O I
10.1016/j.transproceed.2013.11.083
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Purpose. A national organ transplant registry is an indispensable organizational requirement for patient care, research, and planning. Even though the Korean Network for Organ Sharing (KONOS) has established a database for a waiting list, organ allocation, and incidence of organ transplantation since 2000, an integrated registry including post-transplantation data is needed for better understanding of organ transplantation. Recently, the Korean Society for Transplantation (KST) and the Korean Center for Disease Control (KCDC) designed a web-based organ transplant registry, named the Korean Organ Transplant Registry (KOTRY). As an initial project of KOTRY, we retrospectively analyzed kidney transplantations (KTs) performed in 2009 and 2010. Methods. A total of 2292 KTs (91.9%) from 46 hospitals (80.7%) were collected and analyzed. Ninety-five elements related to KT were selected and analyzed. Results. Proportions of male recipients and retransplantations were 58.4% and 7.1%, respectively. Even though glomerulonephritis was the most common cause of end-stage renal disease (ESRD) (28.4%), the number of diabetic nephropathy cases was increasing. The living donor (LD) to deceased donor (DD) ratio was 1.69:1. Because of a serious organ shortage in Korea, DD kidneys with a low initial estimated glomerular filtration rate (eGER) of <45 mL/min/1.73 m(2) (21.2%) and expanded criteria donors (ECDs; 18.3%) are frequently used. Other noticeable findings are the increasing number of wife donors and ABO-incompatible (ABOi) transplants for O+ recipients. Conclusions. The epidemiological profile of transplantation is different from country to country. The number of organ transplantations in East Asian countries is rapidly growing, however, there are few epidemiological data about this region in the literature. With the establishment of KOTRY, it was possible to present the first nationwide epidemiological data of Korean KTs.
引用
收藏
页码:425 / 430
页数:6
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