The Ahmedabad Mirror reports on the success of kidney exchange at the Trivedi Institute in that City, and on discussions underway to build a national kidney exchange infrastructure in India.
"Ahmedabad leads India in the number of Kidney Paired Donations (KPD) or ‘kidney swap transplants’ carried out till date, having conducted 539 such surgeries out of 1,808 in 65 hospitals in India, shows data from the registry made by the Indian Society of Organ Transplantation (ISOT). These include two pairs of surgeries conducted in 2024 so far.
"Gujarat accounted for 565 such transplants of which 539 were conducted at the state-run Institute of Kidney Diseases and Research Centre (IKDRC) in Ahmedabad.
"In fact, in 2013, doctors and staff at IKDRC conducted 10 kidney swap transplants in a day, operating on 10 donors and 10 recipients in a 24-hour period.
"One Nation, One Swap?
"Mirror has now learnt that a consultation on whether a national Kidney Paired Donation programme should be instituted or not, and what should be its guidelines.
"This is currently under deliberation between stakeholders at the National Organ and Tissue Transplant Organisation (NOTTO).
"Its director, Dr Anil Kumar, told Mirror, “It is currently at the conceptual stage and in-principle discussions are underway for a swap organ transplant programme and guidelines are yet to be framed on this issue.”
"If implemented, the biggest benefit will be decrease in waiting period for those on dialysis and waiting list due to an incompatible donor if they match with a swap pair. This will also decrease the number of patients on the transplant waitlist.
"However, there are many challenges to this. Apart from the safeguards regarding consent and transparency, other problems include the lack of a nationwide guideline on documentation and approval of swap transplants and a national swap allocation system. The logistics of long-distance organ transport also needs attention.
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