Espinosa-Mercado L, Chávez-Valencia V, Rojas-Hernández G, Gómez-Zavala MV, Orizaga-De la Cruz C, Radilla-Ramos D, Sandoval-Quintana JS

Language: Spanish
References: 12
Page: 90-94
PDF size: 187.71 Kb.

ABSTRACT

Introduction: Chronic kidney disease (CKD) is a global health problem which shows an increase in the number of affected patients requiring dialysis or renal transplantation (TR), but unfortunately not all patients achieve living kidney donations (LKD) and / or TR of Brain-Death Donors. Of the main causes of desertion of couples in TRDVR protocol are medical, psychiatric and social nature. Objetive: Analyze factors and causes of the desertion of couples (donor and/or receiver) in a TR LKD protocol in HGR Núm. 1 of the Instituto Mexicano del Seguro Social (IMSS). Material and methods: Descriptive and retrospective study, was conducted of couples in TRDVR protocol in HGR No1 Charo in the period from January 01, 2017 to December 31, 2018. Results: 111 couples of TR LKD protocol were initiated, of which 54 were discarded, 41 due to medical causses and 13 of them due to refusal of the potential donor to the procedure. We detected a recent diagnosis of CKD in 20 potential donors with a low glomerular filtration rate for age and ischemic heart disease in 8 potential recipients. Conclusions: Similar to the international literature, the main cause that discards a potential donor is medical; however, we found a high prevalence of undiagnosed CKD in potential donors with consanguinity.

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