There is Serious Kidney Deficiency in the United States
According to the Organ Procurement and Transplantation Network, a federal organ transplant database, nearly 100,000 Americans are currently on the waiting list for a kidney. Only this year, only about 16,000 people on the list received a kidney.
But about 2,000 kidneys from deceased donors are discarded each year in the US – kidneys that could potentially be transplanted, according to a new study by an international team of researchers who visited the American Society of Nephrology Kidney Week on October 27 2018, a medical conference was presented by kidney experts in San Diego. [The 9 Most Interesting Transplants]
According to the researchers, the US needs to seek advice from France, a country where fewer kidneys are considered "unprofitable" and discarded. In other words, the US should stop throwing away so many kidneys because some of these kidneys could save patients' lives.
If a kidney is a candidate for transplantation, physicians must determine the quality of the kidney. They do this by using a quality standard known as Kidney Donor Profile Index or KDPI. A number of factors about the donor, including age and whether they have health problems such as high blood pressure or diabetes, go into the KDPI.
In the USA, for example, a kidney is viewed by an older donor. Peter Reese, a kidney transplant specialist and adjunct professor of medicine at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia,
These low-quality kidneys would never have been accepted for transplantation in the US and would have been thrown away, even though it was an acute one Lack of donor kidney, Reese told Live Science. This stance may come from some kidney specialists' belief that using higher-risk kidneys is not as good for patients or that lower-quality kidney transplants cost more, he added. Another factor is that specialists in the US are quite risk averse, he said.
However, in France, kidney transplant specialists are more willing to accept lesser quality kidneys, according to the study. This begs the question: is the acceptance of these inferior kidneys harmful to the patients? And if not, why can not we do that here in the US?
In France …
In the study, Reese worked with a team from the Paris Translational Research Center for Organ Transplantation under the direction of Drs. Olivier together Aubert. Together, they analyzed data from organ transplant registries in the US and France between 2004 and 201
The team found that the average age of deceased kidney donors in the US was 36, in France it was 51. That's a big difference in terms of kidney quality,
In addition, the average age of deceased donors remained in USA "The age of deceased donors has been getting older in France," he says.
The findings suggest that the French transplant centers responded to the challenge of growing waiting lists for kidneys by developing a more aggressive transplant system, increasingly accepting older kidney donors, while maintaining the US status quo, Reese said.
This risk seemed to pay off: The study estimated that if US transplant centers had the s willingness to accept lesser quality kidneys, as the French did, would have done 17,000 kidney transplants during the study period, Reese said. The researchers also estimated that French patients who received lower quality kidneys had similar outcomes to those who received higher quality kidneys; In other words, the patients fared similarly after their operations.
In fact, the study provides good evidence that older deceased donor organs may be a valuable, underutilized resource for kidney transplantation, Reese said.
The results are not yet published in a journal.
Originally published on Live Science .