[Kidney transplant program: Mexican Institute of Transplants. Model of synergy between private hospital and private assistance foundations].
BACKGROUND
The Mexican Institute of Transplantation (IMT) was created in 1999 in response to the need to meet the demand for transplants in the south of the country for patients with limited resources. Thanks to the synergy with private assistance foundations this task has been accomplished.


OBJECTIVE
To describe the IMT experience in kidney transplants.


RESULTS
From November 1999 to May 23,2011, 754 kidney transplants were performed in the IMT, of which 733 were from living donors and only 21 from deceased donors. In our experience, the 10-year patient and graft survival were 84.4 and 72.4%, respectively. The average follow-up of patients was 44 months, it was during the first year after transplantation when most of patients were lost. More than 50% of patients have been supported by private assistance foundations. The IMT has participated in research protocols for phase II and phase III, for the development of new immunosuppressants.


CONCLUSIONS
The synergy between our private medical institution and private assistance foundations has permitted to transplant low income patients, a similar association can be carried out in governmental health institutions that have overcharge in their transplant services.
Servicio de Cirugia de Trasplantes, Instituto Mexicano de Trasplantes, Cuernavaca, imt@imtsc.com.mx
Guillermo A
GA
Mondragón-Ramírez
Tommaso
T
Bochicchio-Riccardelli
Lourdes
L
Bernal-Flores
Gerardo
G
León-Rojas
José A
JA
Martínez-Hernández
Luis M
LM
Orozco-Tapia
Alicia E
AE
Rustrián-Hernández
Ricardo
R
López-Amozurrutia
Carlos A
CA
Ortega-Montillo
Francisco
F
Flores-Gama
D000328:Adult; D015331:Cohort Studies; D005260:Female; D016304:Hospitals, Private; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D008297:Male; D008800:Mexico; D015233:Models, Statistical; D017149:Private Sector; D012189:Retrospective Studies