title: Ten years of renal transplantation in a Moroccan hospital: results and constraints.
abstract: BACKGROUND
  Renal transplantation (RT) offers several advantages to end-stage renal disease (ESRD) patients, such as a better quality of life and economic benefits. This study sought to report a 10-year experience of RT in a developing country as well as the barriers to its improvement.
  
  
  METHODS
  The retrospective study included 67 patients who underwent a first RT from a related living donor (RLD) between June 1998 and December 2008. We noted pretransplantation donor and recipient parameters as well as the results and barriers to RT promotion in our country.
  
  
  RESULTS
  The mean overall age of our patients including 43 males (64.1%) and 24 females (35.8%) was 30 ± 9.6 years. Teenagers from 13 to 18 years of age represented 9% of the recipients. Immediate failure was observed in 5 cases due to vascular thrombosis (n = 3) or hyperacute rejection (n = 2). Graft and patient survival rates at 1 year were 92.6% and 97%, respectively.
  
  
  CONCLUSIONS
  The limited number of RT in our country may be explained by the lack of both human and material resources as well as the limited pool of living donors. Nonetheless, the economic gain subsequent to RT should encourage promotion of this treatment mainly through dissemination of information.
authors.affiliation: Unit of Nephrology-Dialysis-Renal Transplantation, Ibn Sina University Hospital, Faculty of Medicine, Mohammed V University, Rabat, Morocco. intissarhaddiya@hotmail.com
authors.forename: I
authors.initials: I
authors.lastname: Haddiya
authors.forename: A
authors.initials: A
authors.lastname: Radoui
authors.forename: L
authors.initials: L
authors.lastname: Benamar
authors.forename: F
authors.initials: F
authors.lastname: Ezaitouni
authors.forename: N
authors.initials: N
authors.lastname: Ouzeddoun
authors.forename: R
authors.initials: R
authors.lastname: Bayahia
authors.forename: H
authors.initials: H
authors.lastname: Rhou
mesh_terms: D000293:Adolescent; D000328:Adult; D003466:Cultural Characteristics; D003906:Developing Countries / Q000191:economics; D005260:Female; D006084:Graft Rejection / Q000276:immunology / Q000401:mortality / Q000517:prevention & control; D006085:Graft Survival; D017048:Health Care Costs; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006295:Health Resources / Q000191:economics; D006297:Health Services Accessibility / Q000191:economics; D006785:Hospitals, University / Q000191:economics; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D053208:Kaplan-Meier Estimate; D007676:Kidney Failure, Chronic / Q000191:economics / Q000208:ethnology / Q000401:mortality / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000191:economics / Q000276:immunology / Q000401:mortality; D019520:Living Donors / Q000600:supply & distribution; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D010353:Patient Education as Topic; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D007166:Immunosuppressive Agents