[Evaluation of patients' readiness for surgery when called from the waiting list for kidney transplantation: experience of the Budapest Centre].
The aim of this study was to assess the impact of the establishment of waiting list committee on recipient evaluation for kidney transplantation. Studies on this issue have not been previously reported.


METHODS
Data of 714 patients were collected between September 1, 2007 and April 20, 2010. Of the 714 patients 354 were transplanted. Data from the first 16 months period were compared to those obtained during the second 16 months period.


RESULTS
During the first period 171 patients (47.9%) were unfit for transplantation [129 patients (36.1%) were refused after telephone information and 42 patients (11.8%) after clinical investigation]. During the second period 141 (39.5%) patients were found to be unsuitable [80 patients (22.4%) after telephone information and 61 patients (17.1)] after clinical examination. During the two periods of the study 44% of patients were unfit for transplantation. A considerable number of patients were refused because of cardiologic reasons. The percent of fit patients was 52.1% in the first period and 60.5% in the second period. In addition, the percent of unfit patients who were unsuitable for kidney transplantation after telephone information decreased from 36.1% to 22.4%, while the percent of unfit patients after clinical evaluation increased from 11.% to 17.1%.


CONCLUSIONS
Authors conclude that waiting list committee made an effective work.
Semmelweis Egyetem, Általános Orvostudományi Kar Transzplantációs és Sebészeti Klinika Budapest Baross u. 23. 1082. etoronyi@gmail.com
Eva
E
Toronyi
Rita
R
Chmel
Anikó
A
Maléth
Etelka
E
Borsodi
Anikó
A
Mezo
Róbert
R
Langer
D000293:Adolescent; D000328:Adult; D026683:Advisory Committees / Q000458:organization & administration; D015897:Comorbidity; D000075202:Contraindications; D005260:Female; D006801:Humans; D006814:Hungary; D016030:Kidney Transplantation / Q000592:standards / Q000639:trends; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D010808:Physical Examination; D010809:Physical Fitness; D017582:Renal Replacement Therapy / Q000379:methods; D011795:Surveys and Questionnaires; D013689:Telephone; D014850:Waiting Lists