Challenges and future recommendation for kidney transplantation in iran: A narrative review

Moradpour, A. and Hadian, M. and Tavakkoli, M. (2019) Challenges and future recommendation for kidney transplantation in iran: A narrative review. Nephro-Urology Monthly, 11 (1).

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Abstract

Context: Nowadays, the demand for a kidney allograft is increasing in Iran as well as the rest of the world, which is growing the wait list. The Iranian model of a kidney transplant was initiated for solving organ shortage and has been extremely controversial both inside and outside of Iran. Evidence Acquisition: This narrative review was done by using Iranian and international databases to retrieve literature dealing with the Iranian model of kidney transplantation. All publications up until January 2018 were included. It has drawn out the weaknesses and strengths as well as the advantages and disadvantages, then, it provides some suggestion for better functioning of the Iranian model. Results: Overall, 61 publications were retrieved and selected. After exclusion of unsuitable and duplicate articles, 17 were included. The main strengths of the Iranian model were having a lawful structure, supporting health centers and patients financially by government and charity funds, as well as reducing the waiting list. The main weaknesses include inadequate public awareness regarding the concept of brain death, the absence of a well-defined kidney registry system, need for renewing existing laws, regulations, andguidelines, the absence of permanent health insuranceandfollow-up for donors, as well as absence of a comprehensive network organ bank. Conclusions: The transplant authorities in Iran should work on reinforcement of the model by solving and overcoming some challenges. Preventing organ failure, as well as its risk factors, public education and encouraging organ donation from individuals who are brain dead, improving the outcomes of circulatory death donation, and investment in tissue engineering could significantly reduce organ shortage. The final solution is living unrelated renal donation (LURD). © 2019, Kowsar Corp. All rights reserved.

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Hadian, M.; Department of Health Economics, School of Health Management and Information Science, Iran University of Medical SciencesIran; email: hadianmohamad@iums.ac.ir
Uncontrolled Keywords: End Stage Renal Disease Iran Kidney Transplantation Article athlete awareness brain death cadaver checklist dialysis disease registry drug cost follow up government graft survival health care cost health insurance health program hospital admission hospitalization human immunosuppressive treatment kidney donor kidney graft laboratory test meta analysis non heart beating donor organ donor organ transplantation public health risk factor social media social network systematic review tissue engineering
Subjects: WJ Urogenital System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib1 lib1
Date Deposited: 21 Jun 2020 09:24
Last Modified: 21 Jun 2020 09:24
URI: http://eprints.mums.ac.ir/id/eprint/18543

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