[Development, state of the art and perspectives of transplantation medicine, exemplified by kidney transplantation].
In particular the knowledge of the immunological aspects of organ rejection represented a giant step forward in the field of transplantation medicine. However, despite the fact that, in the absence of a contraindication, every dialysis-requiring preterminal/terminal renal insufficiency is an indication for transplantation, fewer than 20% of 50,000 candidate patients in Germany are earmarked for a new kidney. Furthermore, the fate of the patients on the waiting list is determined in particular by the dearth of donor organs. As a rule, the source of a transplantable kidney continues to be a brain-dead donor. If, however, no such organ is likely to be available in the foreseeable future, a kidney from a living donor is an alternative option. The proportion of organs from living donors in Germany is currently between 10 and 20%.
Illner
W D
WD
Klinik und Poliklinik für Chirurgie der LMU München, Klinikum Grosshadern. Wolf-Dieter.Illner@med.uni-muenchen.de
Hoffmann
J N
JN
Hillebrand
G F
GF
Jauch
K W
KW
D005858:Germany; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000601:surgery*; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D019520:Living Donors / Q000600:supply & distribution; D016377:Organ Transplantation / Q000706:statistics & numerical data; D006435:Renal Dialysis / Q000706:statistics & numerical data*; D014019:Tissue Donors / Q000600:supply & distribution*; D014850:Waiting Lists
Trotz grosser Fortschritte bei der Nierentransplantation: Warum steht nur jeder fünfte Dialysepatient auf der Warteliste?