More than 3,500 donated kidneys in the US will be thrown away each year due to unnecessarily stringent regulations, according to a report released this week.
On Monday, medical journals JAMA Internal Medicine delivered the disturbing news that around 5,000 people die every year in the US while waiting for a kidney transplant.
"In the US, 156,089 kidneys from deceased donors were salvaged between 2004 and 2014, of which 128,102 were transplanted and 27,987 (17.9%) discarded," the authors of the study write.
The researchers said the numbers were partly due to the "intensive regulatory control" of US transplant programs, which often run the risk of losing their legitimacy if the allograft survived the donated kidneys they did use, does not last as long predicted. Allograft refers to the tissue graft of the donor that is not genetically identical to that of the recipient.
Other factors that have contributed to the alarming number of discarded kidneys have been reported to be the financial disadvantages of transplanting inferior kidneys and the inaccurate use of biopsies to determine the quality of allografts.
"Although biopsies can provide information on scars, acute kidney injury or chronic disease, biopsies can also lead to unnecessary discarding if the pathological analysis is performed by people who lack the time and skill," the authors note.
Although the researchers acknowledge that there is no concrete evidence that transplanting the discarded kidneys would have been beneficial, the data shows that the US gets rid of twice as many donated kidneys as France, where the transplantation practice of the European country "The Unmet need for transplantable organs has been met by ingestion of low-grade kidneys from older donors. "
A National Kidney Foundation report also indicated that 50 percent of the more than 3,600 kidneys thrown away in the US in 2016 may be kidney were "transplanted to extend the lives of Americans who were otherwise treated with dialysis".
Since then, experts have suggested that the US regulations for kidney transplants must change.
"It is well known that the overly strict and restrictive process of monitoring transplant programs in the United States has led many transplantation programs to take a risk-averse approach," said doctors Ryoichi Maenosono and Stefan G. Tullius recently. "Hospital administrators and patients alike are fond of superficial five-star ranking approaches that are easy to read, but do not necessarily reflect the approach of individual programs designed to offer their patients the best chance on waiting lists."
According to CNN The Centers for Medicare and Medicaid services are currently considering deleting certain rules to take account of the financial risks to which transplant programs are exposed, although nothing has yet been announced.