Deceased Donor Kidney Transplantation in Taiwan in 2015.
Po-Chang Lee, Yang-Jen Chiang, and Shih-Tse Chen
Clinical Transplants 2014, Chapter 6
Summary
There were 1997 deceased donor renal transplants reported to
the Taiwan Organ Registry and Sharing Center between April 1, 2005, and
December 31, 2014. The median age of transplant recipients was 45 years, with
most patients between 35 and 64 years old. The number of male patients was
comparable to that of female patients. There were more blood type O patients
than any other blood type.
The 1-, 3-, and 5-year patient survival rates were 96%, 93%,
and 89%, respectively. Graft survival rates at 1, 3, and 5 years were 94%, 88%,
and 82%, respectively.
Overall patient survival was significantly worse in patients
with hepatitis B surface antigen (P=0.0058). However, with respect to overall
graft survival, there was no significant difference between patients with or
without hepatitis B surface antigen (P=0.100).
Overall patient survival was significantly worse in patients
with hepatitis C virus antibody (HCV Ab) compared to patients without HCV Ab
(P<0.0001). Likewise, overall graft survival was significantly worse in
patients with HCV Ab compared to patients without HCV Ab (P<0.0001).
In order to promote willingness to be an organ donor, the
following law was passed: if any person becomes a deceased organ donor, up to
three of his or her blood relatives would have priority to receive a deceased
donor organ should they be on the waiting list for transplantation. We do wish
this organ allocation priority will be an incentive for deceased organ donors’
families to think “to give is to take”.
Deceased Donor Kidney Transplantation in Taiwan in 2015
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