Fatiu Arogundade
Kidney transplantation in a low-resource setting: Nigeria experience
Obafemi Awolowo University Teaching Hospitals Complex
incidence prevalence chronic kidney disease endstage renal disease esrd continued increase exponentially world developed developing countries majority patients developed countries benefit various modalities renal replacement therapies developing economies suffer untimely deaths uremia cardiovascular disease kidney transplantation kt leads improvement quantity quality life unfortunately exploited full potential countries particularly case developing economies small fraction esrd population emerging countries ever gets transplanted many constraints review focuses kt nigeria 2000 2010 assessed particular challenges need addressed kt potential fully harnessed resourceconstrained settings total 143 kts performed 5 transplant centers recently opened oneyear graft patient survival 832 902 respectively 5year graft patient survival 587 734 respectively mortality reported 38 27 recipients complications recorded included acute rejection episodes 1530 chronic allograft nephropathy 21147 malignancies particularly kaposi sarcoma reported 8 56 recipients concluded kt led improved survival bedevilled unaffordability inaccessibility shortage donor organs poor legislative support enactment relevant organ transplant legislation subsidization renal care development local capacities would improve kt utilization thus lead better outcomes