Current Status, Challenges, and Opportunities of Organ Donation and Transplantation in India

Kute, Vivek; Meshram, Hari Shankar; Mahíllo, Beatriz; Domínguez‐Gil, Beatriz

doi:10.1097/tp.0000000000004479

Cited by 7 publications

(1 citation statement)

References 15 publications

(26 reference statements)

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“… Transplant team was sent for training in Europe, Japan, South Korea and Taiwan to obtain clinical experience and expertise. India 35 , 36 , 50 South Asia Transplantation of human organs (amendment) Act was enacted in 1994 to provide a system of removal, storage and transplantation of human organs for therapeutic purposes. It was amended in 2011 with specific deceased donor considerations.…”

Section: Legislative Milestones History and Policy Directions In Asia...mentioning

confidence: 99%

Deceased donor kidney transplant policies in Asia – implications on practice and recommendations for the future

Tan,

Mabood Khalil,

Kee

et al. 2024

The Lancet Regional Health - Southeast Asia

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Section: Legislative Milestones History and Policy Directions In Asia...mentioning

confidence: 99%

Deceased donor kidney transplant policies in Asia – implications on practice and recommendations for the future

Tan,

Mabood Khalil,

Kee

et al. 2024

The Lancet Regional Health - Southeast Asia

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A qualitative study exploring barriers and facilitators in deceased organ donation process among transplant coordinators in India

Vincent,

Randhawa,

Cook

2024

Sci Rep

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Although India’s organ donation rate is less than 1 per million population, significant disparities exist between the regions and centres within the country, leading to varying consent rates among different organ donation centres. Therefore, this study aimed to understand the experience of transplant coordinators and their barriers and facilitators in the deceased organ donation process across various organ donation centres in India. A phenomenological study using interviews was conducted among fourteen transplant coordinators purposefully recruited from public and private organ donation centres in India, with experience between six years and more than a decade. Audio recordings were transcribed and analysed using framework analysis. Five themes were identified namely: (1) supportive management policies, (2) infrastructure for the deceased organ donation process, (3) delays in the processing time, (4) active involvement in the identification process, and (5) explaining the concept of brain death. The study identifies that implementation priorities include strengthening teamwork, streamlining processes, optimising infrastructure for sensitive discussions, efficient donor identification, and empathetic handling of donor families’ grief stages. Collaborating with law enforcement, applying successful medico-legal strategies, improving family communication, and clarifying brain death concepts ethically and legally can boost consent rates, fostering informed decisions and possibly achieving self-sufficiency in deceased organ donation.

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Long-term Kidney Transplant Survival Across the Globe

Hariharan,

Rogers,

Naesens

et al. 2024

Transplantation

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Background. The outcomes after kidney transplantation (KT), including access, wait time, and other issues around the globe, have been studied. However, issues do vary from one country to another. Methods. We obtained data from several countries from North America, South America, Europe, Asia, and Australia, including the number of patients awaiting KT from 2015, transplant rate per million population (pmp), proportion of living donor and deceased donor (LD/DD) KT, and posttransplant survival. We also sought opinions on key difficulties faced by each of these countries with respect to KT and long-term survival. Results. Variation in access to KT across the globe was noted. Countries with the highest rates of KT pmp included the United States (79%) and Spain (71%). A higher proportion of LD transplants was noted in Japan (93%), India (85%), Singapore (63%), and South Korea (63%). A higher proportion of DD KTs was noted in Spain (90%), Brazil (90%), France (85%), Italy (85%), Finland (85%), Australia–New Zealand (80%), and the United States (77%). The 5-y graft survival for LD was highest in South Korea (95%), Singapore (94%), Italy (93%), Finland (93%), and Japan (93%), whereas for DD, it was South Korea (93%), Italy (88%), Japan (86%), and Singapore (86%). The common issues surrounding KTs are access and a limited number of LDs and DDs. Key issues identified for long-term survival were increasing age of donors and recipients, higher recipient comorbidity, and posttransplant events, such as alloimmune injury to the kidney, infection, cancer, and suboptimal adherence to therapy. Conclusions. A unified approach is necessary to improve issues surrounding KT as the demand continues to increase.

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Current Status, Challenges, and Opportunities of Organ Donation and Transplantation in India

Cited by 7 publications

References 15 publications

Deceased donor kidney transplant policies in Asia – implications on practice and recommendations for the future

Deceased donor kidney transplant policies in Asia – implications on practice and recommendations for the future

A qualitative study exploring barriers and facilitators in deceased organ donation process among transplant coordinators in India

Long-term Kidney Transplant Survival Across the Globe

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