Parent Category: Clinical Transplants

A Review of the Past 25 Years of "Clinical Transplants"


Hugo Kaneku and Paul I. Terasaki, Terasaki Foundation Laboratory, Los Angeles, California  


The  Clinical Transplants series started  in 1985, as a summary and analysis of a large  transplant database, the  UCLA International  Transplant Registry, which started in 1971 and  included data of kidney transplants gathered from  more than 130 centers in the USA, Canada, Europe and Japan. The first volume focused exclusively on kidney transplantation outcomes based  on the UCLA Registry. Starting in 1986, different  databases containing liver, pancreas, bone mar- row and heart transplant records were analyzed  and added. The reports and analysis from these  registries were common sections in the next  years, complementing the UCLA Registry analysis. Starting also in 1986, different centers were  invited to publish their single center experiences  and outcomes on different organ transplants. The  year 1989 marked the introduction of the UNOS  Scientific Registry and the transition to this  larger database.

 It also marked the beginning of  the Worldwide Transplant Centers Directory, a  master list with the total number of transplants by  organs performed every year at individual trans- plant centers and also the members of each trans- plant team. This directory is carefully kept until  today. A year later, a new chapter called Annual  Reviews was introduced, with a complete review  of literature published every year. From 1990 to  2005 we had more than 40 recognized transplant  physicians such as Paul Keown, Mark Hardy,  Gabriel Danovitch, Barry Kahan, Harold Helderman, Philip F. Halloran, Leslie W. Miller, Andreas  Tzakis, Joshua Miller, Anthony Monaco, FlavioVincenti, Ali Naji, Clyde Barker, Frank Stuart, J.  Andrew Bradley, Phillip Belitsky, Rolf N. Barth and  Stuart J. Knechtle writing the review. In 1991, a  section called World Transplant Records was introduced containing a list of the longest surviving  grafts, ordered by organs and type of transplants.  In 1993, a section called Current Opinions was  introduced, where different experts discussed on  several controversial topics such as the role of  HLA typing, living donation, cadaver kidneys al- location and paid donation. Another new section  was introduced in 2008, called History of Trans- plantation, where 5 “new” transplant pioneers  told their stories of their own journeys working in  the field of transplantation. The present chapter is  a retrospective look into some interesting chapters  in these 25 years of publications.