Journal List > J Korean Med Assoc > v.51(8) > 1042059

Huh, Kim, and Kim: Exchange Living-donor Kidney Transplantation: The Present and Future

Abstract

The shortage of donor organs is one of the major barriers of transplantation worldwide. After the success of the direct exchange donor (swap) program in Korea since 1991, a swap-around program has been developed. Recently, a web-based (computerized) algorithm to facilitate donor kidney exchange was devised and tested in multi-center settings. An excellent long-term outcome was achieved by using the donor exchange program as an option to reduce the donor organ shortage. Herein, we discussed on the current status of the exchange donor renal transplantation in Korea, a couple of problems we have had, and future directions we have to head and make better to improve organ donation activities.

Figures and Tables

Figure 1
Sample model of exchange living-unrelated donor program: direct swap. Cited from Huh, et al.(6).
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Figure 2
Sample model of exchange living-unrelated donor relay program: swap-around. Cited from Huh, et al.(6).
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Figure 3
Graft survival rates by types of kidney donors. Patient numbers at risk are depicted. Cited from Huh, et al.(6).
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Figure 4
Graft survival rates of exchange versus non-exchange living-unrelated donor kidney transplantation. Patient numbers at risk are depicted. Cited from Huh, et al.(6).
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Table 1
Number of patients on waiting list and number of patient with successful transplantation: Data from KONOS 2006 annual report (2).
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*LDKT: Living donor kidney transplantation

DDKT: Deceased donor kidney transplantation

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