Sunday, November 25, 2018

The Guardian celebrates British kidney exchange

One day. Six operations. Three kidneys. The story of an organ donor chain

"The process relies on logistical masterminding by staff at the UK’s 23 transplant centres, as much as it does on the mind-boggling computer science it’s built around. Ideally, all the operations in a chain are scheduled to take place on the same day, within eight weeks of a matching run, and only after everyone has been painstakingly assessed to ensure the matches will work and they are well enough for surgery.

"It’s a curiously under-recognised scheme, among the general public at least, but its impact is growing every year. The first UK kidney exchange took place in 2007, with a two-way swap between four people. In 2017/18, 127 of the 1,010 living kidney transplants carried out – one in eight – came about as a result of the sharing scheme. It’s also a British success story: the UK far outstrips any other country in Europe in this field, carrying out about half of all the transplants made possible by sharing schemes."
And here's the NHS Blood and Transplant's ANNUAL REPORT ON LIVING DONOR KIDNEY TRANSPLANTATION REPORT FOR 2017/2018 (1 APRIL 2003 – 31 MARCH 2018)
"Key findings
• There were 940 adult living donor kidney transplants performed in the UK in
2017/18 an increase of 12 transplants compared to 2016/17. Of these, 449 (421 in
2016/17) were related, 237 (236 in 2016/17) were unrelated, 5 (18 in 2016/17) were HLAi, 41 (64 in 2016/17) were ABOi, 123 (109 in 2016/17) were paired/pooled and 85 (80 in 2016/17) were altruistic donor transplants. The equivalent number of paediatric transplants was 70, an 3% decrease from the previous year.
• The proportion of living donors across the UK being prescribed anti-hypertensive drugs is 5% at one year, 7% at five years and 11% at ten years post donation.
• Serum creatinine for living donors in the UK is 104 (IQ-range 90-121) at one year, 96 (84-111) at five years and 93 (81-106) at ten years post donation.
• The UK rate of graft survival five years after adult living donor kidney transplant by type is; unrelated 94%, related 92%, HLAi 81%, ABOi 87%, Paired exchange 95% and Altruistic 91%.
• 38% of registered patients have been transplanted and 63% of identified transplants proceed."

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