2024, Number 4
Historical evolution of kidney transplantation in the IMSS, a ten-year review 2015-2024
Torres-Sierra A, Valencia-Granados RH, Rivera-Durón E, Peñaflor-Juárez K, Velázquez-García JA, Avilez-Pacheco ND, Garrido-Herrera S
Full text
10.35366/119294
Language: Spanish
References: 5
Page: 160-163
PDF size: 263.02 Kb.
ABSTRACT
Introduction: the growing number of kidney patients in our country has required an increase in awareness of organ donation. In terms of kidney transplants (KT), more than 70% come from living donors, an unfavorable contrast compared to first world countries where TR comes mainly from cadaveric donors; this may be due to various social or cultural factors. Analyzing the data for the year 2023 from the National Transplant Organization (ONT). The countries with the best TR rates per million inhabitants (pmp) are the USA with 82.8 pmp and Spain with 77.7 pmp; Unfortunately, Mexico has a TR rate of 24.0 pmp. The objective of this study was to retrospectively evaluate the transplant rate in the IMSS over 10 years and the proportion of Cadaveric Transplant (C/T) vs Living Transplant in the country (V/T). Material and methods: retrospective, comparative and cross-sectional study of TR recipients, from 2015 to 2024 in the IMSS. The annual TR rates were compared and divided into two groups C/T and V/T to observe the proportion of living/cadaveric donor TR. The data were captured with the National Transplant Registry system from the National Transplant Center. Results: the data found shows the TR pmp rates from 2015 to 2024 in the IMSS, based on the population that was currently assigned during those years and taking into account the transplant values from cadaveric and living donors to obtain TR rates. An average rate of 26.82 pmp was obtained for the last 10 years. It was also found that more than 70% of transplants came from a living donor in 6 years of the 10 years in which data registration was carried out. Conclusions: it is important to emphasize how other Latin American countries such as Uruguay and Argentina have managed to increase their donation rates with improvements in donation and transplant campaigns. In Mexico, it is unlikely that there is no significant progress in one of the most promising fields of medicine, such as transplants, to address one of the main causes of death in the national territory. Proposals are necessary to improve awareness of donation processes, as well as an increase in hospital units to increase donation and transplant programs.REFERENCES
Cantú-Quintanilla G, Alberú-Gómez J, Reyes-Acevedo R, Gracida-Juárez C, Medeiros-Domingo M, Namba-Bando MY et al. Baja movilidad de la tasa de donante fallecido en México en los últimos 10 años, ¿mito o realidad? Rev Mex Traspl. 2015; 4 (3): 90-96. Disponible en: https://www.medigraphic.com/pdfs/trasplantes/rmt-2015/rmt153b.pdf