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LETTER TO EDITOR
Year : 2012  |  Volume : 22  |  Issue : 3  |  Page : 232-233
 

Deceased donor organ transplantation: A good start for a promising future


Department of Internal Medicine/Nephrology Division, Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, I.R, Iran

Date of Web Publication20-Jul-2012

Correspondence Address:
B Einollahi
Internal Medicine/Nephrology Division, Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.98791

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How to cite this article:
Einollahi B. Deceased donor organ transplantation: A good start for a promising future. Indian J Nephrol 2012;22:232-3

How to cite this URL:
Einollahi B. Deceased donor organ transplantation: A good start for a promising future. Indian J Nephrol [serial online] 2012 [cited 2021 Jan 23];22:232-3. Available from: https://www.indianjnephrol.org/text.asp?2012/22/3/232/98791


Sir,

I read with great interest the promising article recently published in your most valuable journal titled "Deceased donor organ transplantation: A single center experience" by Gumber et al. [1] This retrospective study focused its message on drawing the attention of the outcomes of deceased-donor kidney transplantation in India. The results of this study indicate a favorable outcome in short-term period for deceased-donor kidney transplantation. Interestingly, their graft survival rate is comparable with those reported for deceased kidney transplantations in United States. [2] Thus, it seems that the outlook for kidney transplantation from deceased donor in India is encouraging. Furthermore, we evaluated the short-term outcomes of 121 adult deceased-donor recipients who underwent kidney transplantation at our transplant center between 2008 and 2009 (unpublished data). One and 2-year graft survival rates were 94.0% and 86.8%, respectively. One and two-year patient survival rates were 97.4% and 91.9%, respectively. Our study also showed a favorable improvement in the short-term graft and patient survivals of recipients using kidneys from deceased donors. Mahdavi et al. [3] have also reported a good short-term outcome of deceased-donor kidney transplantation from Mashhad, Iran.

It is of interest that Gumber et al. [1] reported a short cold ischemia time (5.56±2.04 h). Since our organ procurement in Iran is local, cold ischemia time in our patients was also short that may the key to better graft survival. The mean cold ischemic time in our recipients was 3.16 ± 0.83 h (ranging 1.5 and 4.7 h), that is, it was relatively short. Cold ischemia time is a known risk factor for delayed graft function and worsen transplant outcome. [4] Vacher-Coponat et al. showed a reduction of cold ischemia time from 21.45 to 13.27 h is associated with a significant decreasing in delayed graft function rate from 34.7% to 20.7%. [4]

I agree that having a legislation to procure deceased-donor organs is one of steps for a successful deceased-donor organ transplantation program; for example, by the year 2000, only a very limited number of renal transplants from deceased donor had been performed in Iran. In April 2000, the Iranian parliament allowed deceased organ donation after brain death. [5] Since then, the annual number of deceased-donor kidney transplants rose from less than 1% of all kidney transplants at the end of 2000, to 13% in 2006. [6] Kidney transplantation using deceased donors was started at our center in 2002 and its annual number has increased from 0.4% in 2002 to 31% in 2008. [7]

Finally, a favorable of short-term patient and graft survivals in kidney transplants using deceased-donors should be encouraged in view of organ shortage.

 
  References Top

1.Gumber MR, Kute VB, Goplani KR, Shah PR, Patel HV, Vanikar AV, et al. Deceased donor organ transplantation: A single center experience. Indian J Nephrol 2011;21:182-5.  Back to cited text no. 1
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2.Port FK, Merion RM, Goodrich NP, Wolfe RA. Recent trends and results for organ donation and transplantation in the United States, 2005. Am J Transplant 2006;6:1095-100.  Back to cited text no. 2
[PUBMED]    
3.Mahdavi-Zafarghandi R, Zeraati AA, Nazemian F, Shakibi MH, Shakeri MT, Mahdavi Zafarghandi M. Patient and graft outcome in related, unrelated and deceased renal transplant recipients: single center experience. Nephro-UrolMon 2010;2:514-9.  Back to cited text no. 3
    
4.Vacher-Coponat H, Purgus R, Indreies M, Moal V, Luciani H, Lechevallier E, et al. Cold ischemia time in renal transplantation is reduced by a timesheet in a French transplant center. Transplantation 2007;83:561-5.  Back to cited text no. 4
[PUBMED]    
5.Einollahi B. Iranian experience with the non-related renal transplantation. Saudi J Kidney Dis Transpl 2004;15:421-8.  Back to cited text no. 5
[PUBMED]  Medknow Journal  
6.Einollahi B. Cadaveric kidney transplantation in Iran: behind the Middle Eastern countries? Iran J Kidney Dis 2008;2:55-6.  Back to cited text no. 6
[PUBMED]    
7.Einollahi B. Is the annual number of deceased donor kidney transplantations in Iran lower than the Middle Eastern countries? Transplant Proc 2009;41:2718-9.  Back to cited text no. 7
[PUBMED]    



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