Impact of the establishment of waiting list committee on recipient evaluation for kidney transplantation: experience of the Budapest Centre

Abstract

. július 1-jén megalakult a vesetranszplantációs várólista-bizottság. A szerzők a várólista-bizottság működésének a transzplantáció előtti kivizsgálásra gyakorolt hatását kívánták felmérni. A szerzők ismeretei szerint a veseriadó során a szelekciós listán megjelenő betegek alkalmatlanságát elemző tanulmányt még nem közöltek. , 2011, 152, 190-195. Kulcsszavak: vesetranszplantáció, recipiensalkalmasság, várólista Impact of the establishment of waiting list committee on recipient evaluation for kidney transplantation: experience of the Budapest CentreThe aim of this study was to assess the impact of the establishment of waiting list committee on recipient evaluation for kidney transplantation. Studies on this issue have not been previously reported. Methods: Data of 714 patients were collected between September 1, 2007 and April 20, 2010. Of the 714 patients 354 were transplanted. Data from the fi rst 16 months period were compared to those obtained during the second 16 months period. Results: During the fi rst period 171 patients (47.9%) were unfi t for transplantation [129 patients (36.1%) were refused after telephone information and 42 patients (11.8%) after clinical investigation]. During the second period 141 (39.5%) patients were found to be unsuitable [80 patients (22.4%) after telephone information and 61 patients (17.1)] after clinical examination. During the two periods of the study 44% of patients were unfi t for transplantation. A considerable number of patients were refused because of cardiologic reasons. The percent of fi t patients was 52.1% in the fi rst period and 60.5% in the second period. In addition, the percent of unfi t patients who were unsuitable for kidney transplantation after telephone information decreased from 36.1% to 22.4%, while the percent of unfi t patients after clinical evaluation increased from 11.% to 17.1%. Conclusions: Authors conclude that waiting list committee made an effective work. Orv. Hetil., 2011, 152, 190-195.