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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Transplant tourism outcome: A single center experience
Transplantation, Volume 90, No. 2, Year 2010
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Description
BACKGROUND.: Transplant tourism is the term used for patients who travel abroad for transplantation. Transplant tourism has always been surrounded with controversy regarding how these organs were obtained, the donor's care after transplantation, and the recipient outcome. Many authors have found that the outcome of the recipients in transplant tourism is inferior to those transplanted in their own countries. However, most these studies were small, with the latest one including only 33 patients. Here, we describe the outcome of 93 patients who were transplanted abroad compared with local transplantation. MATERIAL AND METHODS.: All transplant patients who were followed up at our Nephrology Clinic from 1998 until 2008 were identified using our data base system. We selected patients transplanted from 2003 and forward because the computerized system for laboratory and electronic records began operation that year. RESULTS.: A total of 165 patients were identified (93 in the tourist group and 72 in the local one). Transplant tourists had a higher rate of acute rejection in the first year compared with local transplantation (27.9% vs. 9.9, P=0.005), higher mean creatinine at 6 months and 1 year (120 vs. 101 μmol/L, P=0.0007, 113 vs. 98 μmol/L, P=0.008). There was no statistical difference in graft or patient survival in 1 or 2 years after transplantation. However, transplant tourist had a higher rate of cytomegalovirus infection (15.1% vs. 5.6%, P=0.05) and hepatitis C seroconversion (7.5% vs. 0%, P=0.02). CONCLUSION.: Transplant tourists had a more complex posttransplantation course with higher incidence of acute rejection and infectious complications. © 2010 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Alghamdi, Saad Ali
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Nabi, Zahid
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Alkhafaji, Dania M.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Askandrani, Sumaya A.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Abdelsalam, Mohamed Said
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Shukri, Mohamed M.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
ElDali, Abdelmoneim M.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Adra, Chaker N.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
United States, Boston
Brigham and Women's Hospital
Alkurbi, Lutfi A.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Albaqumi, Mamdouh Nasser
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
United States, New York
Nyu Langone Health
Statistics
Citations: 41
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1097/TP.0b013e3181e11763
ISSN:
00411337
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study