Analysis and evaluation of a novel renal transplantation program. A case study

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La Rioja, España
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In 2011, a new and innovative collaborative program was established in Spain between the Autonomous Community of La Rioja and the Autonomous Community of the Basque Country in the matter of kidney transplant coordination, with the objective of increasing the number of kidney donors and the access of patients to kidneys for transplantation through a shared waiting list and a joint organization. Seven years after the foundation of the program, La Rioja had already transplanted 100 kidneys, and an analysis was carried out to assess its efficacy as well as some possible points for improvement. To do so, data from all patients and donors involved in the 100 procedures were collected and examined, looking for possible indicators and reasons for the failure or success of each transplantation as a function of certain variables, such as the region were the kidneys were extracted or the distance and time that the organ had to travel before being implanted into the recipient. It could be obtained from the achieved results that there were no significant differences in the outcomes of the patients based on the regions of origin of the kidneys, but a significant correlation was found between glomerular filtration rates (GFR) at the time of hospital discharge and the number of hours that the organs remained stored until being transplanted into the receptor. After analyzing whether conditions of storage could affect somehow the overall function of the kidneys, it was concluded that the organ cooling mechanism during the process should be further controlled; the amount of time and conditions in which the organs remained stored affected their overall functionality at the date of hospital discharge, so La Rioja needs to concentrate on reducing such time in future procedures and improving the storage conditions of kidneys to provide better outcomes for their patients.
Kidney transplant, Storage conditions, Glomerular filtration rate
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