Setting up of Renal Transplant Program in Private Setup: Our Experience

Abstract

Renal diseases especially CKD (chronic kidney diseases) &ESRD (End stage renal diseases) incidence &prevalence is increasing day to day in developing as well as developed countries of world. Many modalities of treatment havebeen developed all over the world in the management of CKD. Developed countries have modern medical facilities especially renal replacement therapy like HD, CAPD& renal transplantation which benefits ESRD patients a lot. However in developing countries & poor countries patients have to struggle a lot to get such facilities and ultimately suffer with complications related to uremia. Renal transplantation brings significant improvement in quality of life [1]. Unfortunately renal transplantation has not flourished in many countries, especially in developing countries. Very low percentage of ESRD patients gets transplanted. There may be so many factors affecting renal transplantation [2-4]. This article focuses on setting up KT programme at Sumeru kidney hospital. The aim of this study is to highlight all the challenges faced to set up renal transplant programme. Total of 8 kidney transplants were done at this center with in 6 month of time frame. Renal graft as well as patient survival was 100%.The complications recorded included fungal infection 1 out of 5, surgical re-exploration and acute rejection episodes remains nil. We can conclude that renal transplantation can lead to improved survival. But due to lack of awareness, donor accessibility, affordability, poor financial as well as legislative support, immunosuppression availability, government help in funding renal transplantation is unable to flourish to its full extent in private settings. Formulation of proper government legislation with proper funding at private setting will help to improve transplant utilization and better outcome.