Ten kidney paired donation transplantation on World Kidney Day 2013: raising awareness and time to take action to increase donor pool.
BACKGROUND
Kidney paired donation (KPD) is feasible for any center that performs living related donor renal transplantation (LRDRTx). Lack of awareness, counseling and participation are important hurdles in KPD patients with incompatible donors.


METHODS
This is an institutional review board approved study of 10 ESRD patients who consented to participate in the KPD transplantation at our center. All the surgeries were carried out on the same day at the same center on the occasion of World Kidney Day (WKD) (14 March 2013). All recipients had anatomic, functional and immunological similar donors.


RESULTS
KPD were performed to avoid blood group incompatibility (n = 8) or to avoid a positive crossmatch (n = 2). None of the patients experienced delayed graft function and surgical complications. At 3 month follow-up, median serum creatinine was 1 (range 0.6 to 1.25) mg/dL and two patients developed allograft biopsy-proven acute rejection and responded to antirejection therapy. Due to impact of our awareness activity, 20 more KPD patients are medically fit for transplantation and waiting for permission from the authorization committee before transplantation.


CONCLUSIONS
This is a report of 10 simultaneous KPD transplantations in a single day in a single centre on WKD raising awareness of KPD. KPD is viable, legal and rapidly growing modality for facilitating LRDRTx for patients who are incompatible with their healthy, willing LRD.
Department of Nephrology and Clinical Transplantation .
Vivek B
VB
Kute
Aruna V
AV
Vanikar
Pankaj R
PR
Shah
Manoj R
MR
Gumber
Himanshu V
HV
Patel
Divyesh P
DP
Engineer
Pranjal R
PR
Modi
S J
SJ
Rizvi
Veena R
VR
Shah
Manisha P
MP
Modi
Kamal V
KV
Kanodia
Hargovind L
HL
Trivedi
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007194:India; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged