Please use this identifier to cite or link to this item:
https://hdl.handle.net/11499/5641
Title: | Nonrelated living-donor kidney transplantation: Medical and ethical aspects | Authors: | Çolakoglu, Murat Yenicesu, Müjdat Akpolat, Tekin Vural, Abdülgaffar Utaş, C. Arinsoy, T. Sindel, Ş. |
Keywords: | Kidney transplantation Non-related living-donor kidneys Organ trading cyclosporin a adolescent adult article female follow up graft rejection graft survival human india infection kidney transplantation liver disease living donor major clinical study male medical ethics mortality nephrotoxicity preoperative care priority journal survival rate turkey (republic) Empirical Approach Health Care and Public Health Adolescent Adult Cause of Death Ethics, Medical Female Follow-Up Studies Graft Survival Humans India Kidney Failure, Chronic Kidney Transplantation Living Donors Male Middle Aged Survival Analysis Treatment Outcome Turkey |
Abstract: | Several patients with end-stage renal disease went to Bombay for renal transplantation from nonrelated living donors and then returned to Turkey for posttransplantation follow-up. The aims of this study are to evaluate the long-term results of renal transplantation from nonrelated living donors in Turkish patients with end-stage renal disease and to discuss the ethical and social aspects of nonrelated kidney donation. One hundred and twenty-seven patients (89 males, 38 females; mean age 38.1, range 17-63 years) were investigated retrospectively. None of the patients went to Bombay on our advice. All transplantations were performed between 1991 and 1995. The mean follow-up period after transplantation was 34.2 (range 1-68) months. Graft survival rates were 85, 83, and 57% after 3 months and 1 and 5 years, respectively. Patient survival rates were 94, 93, and 92% after 3 months and 1 and 5 years, respectively. Seven patients died within the first 3 months after the transplantation. Surgical problems, infections, acute rejection, ciclosporin nephrotoxicity, and hepatic problems were common complications. We conclude that medical and surgical complications occur frequently in paid kidney transplantation, but most of these complications can be prevented by adequate preoperative management, and precautionary measures should be taken to prevent commercialization of renal transplantation before the spread of emotionally related living kidney donation. | URI: | https://hdl.handle.net/11499/5641 https://doi.org/10.1159/000045091 |
ISSN: | 0028-2766 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
Show full item record
CORE Recommender
SCOPUSTM
Citations
17
checked on Oct 13, 2024
WEB OF SCIENCETM
Citations
18
checked on Oct 13, 2024
Page view(s)
36
checked on Aug 24, 2024
Google ScholarTM
Check
Altmetric
Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.