BACKGROUND/AIMS: Kidney transplantations at our center rely mainly on living donors. The purpose of this study was to suggest future donor supply directions by reviewing changing trends in donor type. METHODS: During the past 40 years, 1,690 kidney transplantations were performed at our center. We divided the follow-up period into four decades and the donor population into three groups: living related, living unrelated, and deceased. We analyzed changing trends in donors from each group for each decade. Patients receiving overseas transplantation were also included. RESULTS: The proportion of living related donors decreased from 84% (54/64) in the 1970s to 61% (281/458) in the 2000s. Living unrelated donors showed a sustained proportion of around 20% after 1990. However, among living unrelated donors, the proportion of spouse donors increased from 4.6% (17/369) in the 1980s to 8.5% (39/458) in the 2000s. Transplants from deceased donors were only 3.3% (12/369) in the 1980s. However the proportion of deceased donors increased gradually, reaching 13.2% (105/799) in the 1990s and 19.9% (91/458) after 2000. Overseas transplantations increased after 2000 and reached 20% of all cases treated in our center during the 2000s. Such transplantations peaked in 2006 and decreased markedly thereafter. CONCLUSIONS: The proportion of each donor type has continuously changed, and the changes were associated with changes in the social structure and system. We expect that this study could be an important reference for other countries to estimate future changes of donor type.
BACKGROUND/AIMS: Kidney transplantations at our center rely mainly on living donors. The purpose of this study was to suggest future donor supply directions by reviewing changing trends in donor type. METHODS: During the past 40 years, 1,690 kidney transplantations were performed at our center. We divided the follow-up period into four decades and the donor population into three groups: living related, living unrelated, and deceased. We analyzed changing trends in donors from each group for each decade. Patients receiving overseas transplantation were also included. RESULTS: The proportion of living related donors decreased from 84% (54/64) in the 1970s to 61% (281/458) in the 2000s. Living unrelated donors showed a sustained proportion of around 20% after 1990. However, among living unrelated donors, the proportion of spouse donors increased from 4.6% (17/369) in the 1980s to 8.5% (39/458) in the 2000s. Transplants from deceased donors were only 3.3% (12/369) in the 1980s. However the proportion of deceased donors increased gradually, reaching 13.2% (105/799) in the 1990s and 19.9% (91/458) after 2000. Overseas transplantations increased after 2000 and reached 20% of all cases treated in our center during the 2000s. Such transplantations peaked in 2006 and decreased markedly thereafter. CONCLUSIONS: The proportion of each donor type has continuously changed, and the changes were associated with changes in the social structure and system. We expect that this study could be an important reference for other countries to estimate future changes of donor type.
Authors: Suditida Satayathum; Ronald L Pisoni; Keith P McCullough; Robert M Merion; Bjorn Wikström; Nathan Levin; Kenneth Chen; Robert A Wolfe; David A Goodkin; Luis Piera; Yasushi Asano; Kiyoshi Kurokawa; Shunichi Fukuhara; Philip J Held; Friedrich K Port Journal: Kidney Int Date: 2005-07 Impact factor: 10.612
Authors: K Sakai; M Okamoto; T Suzuki; A Yoshizawa; S Nobori; H Ushigome; S Sakamoto; K Akioka; S Kaihara; N Yoshimura Journal: Transplant Proc Date: 2008-09 Impact factor: 1.066
Authors: Ellen Sheehy; Suzanne L Conrad; Lori E Brigham; Richard Luskin; Phyllis Weber; Mark Eakin; Lawrence Schkade; Lawrence Hunsicker Journal: N Engl J Med Date: 2003-08-14 Impact factor: 91.245
Authors: Hye Eun Yoon; Joon Chang Song; Bok Jin Hyoung; Hyeon Seok Hwang; So Young Lee; Youn Joo Jeon; Sun Cheol Park; Bum Soon Choi; Yong Soo Kim; In Sung Moon; Chul Woo Yang Journal: Nephron Clin Pract Date: 2009-08-15
Authors: Jieun Kim; Dong-Moung Kim; Yu Jin Park; Seung-Tae Lee; Hyon-Suk Kim; Myoung Soo Kim; Beom Seok Kim; Jong Rak Choi Journal: Ann Lab Med Date: 2021-09-01 Impact factor: 3.464