title: Evaluation of a Renal Transplant Program for Incarcerated ESRD Patients.
abstract: Renal transplantation (Tx) improves mortality and morbidity but is limited by availability of suitable organs. Clinical and economic impact of a Tx program for end-stage renal disease (ESRD) prisoners was evaluated. Wait list time and patient and organ survival rates were assessed. Twelve of the 104 ESRD prisoners at a prison dialysis unit were activated; 9 transplanted, 2 released active on the United Network for Organ Sharing list, and 1 died after listing. Kidneys from antibody-positive hepatitis C (HepC) donors were given to consenting HepC antibody-positive recipients. The average waiting period was 6.6 months for HepC-positive kidney recipients and 49.6 months for others. Compared with costs of continuing dialysis, Tx resulted in substantial savings. Patients with HepC experienced good graft and survival rates when given grafts from HepC donors, suggesting that transplantation is a viable, cost-effective option for the incarcerated patient with ESRD including those who have chronic HepC infection.
authors.affiliation: Transplant Unit, Erie County Medical Center, Buffalo, NY, USA School of Medicine and Biomedical Sciences, Nephrology Division, New York State University at Buffalo, Buffalo, NY, USA.
authors.forename: Mandip
authors.initials: M
authors.lastname: Panesar
authors.affiliation: School of Medicine and Biomedical Sciences, Nephrology Division, New York State University at Buffalo, Buffalo, NY, USA.
authors.forename: Harpreet
authors.initials: H
authors.lastname: Bhutani
authors.affiliation: Transplant Unit, Erie County Medical Center, Buffalo, NY, USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Blizniak
authors.affiliation: Transplant Unit, Erie County Medical Center, Buffalo, NY, USA School of Medicine and Biomedical Sciences, Nephrology Division, New York State University at Buffalo, Buffalo, NY, USA.
authors.forename: Aijaz
authors.initials: A
authors.lastname: Gundroo
authors.affiliation: Transplant Unit, Erie County Medical Center, Buffalo, NY, USA School of Medicine and Biomedical Sciences, Nephrology Division, New York State University at Buffalo, Buffalo, NY, USA.
authors.forename: Mareena
authors.initials: M
authors.lastname: Zachariah
authors.affiliation: Transplant Unit, Erie County Medical Center, Buffalo, NY, USA.
authors.forename: William
authors.initials: W
authors.lastname: Pelley
authors.affiliation: Transplant Unit, Erie County Medical Center, Buffalo, NY, USA School of Medicine and Biomedical Sciences, Nephrology Division, New York State University at Buffalo, Buffalo, NY, USA rvenuto@ecmc.edu.
authors.forename: Rocco
authors.initials: R
authors.lastname: Venuto
keywords: economics; end-stage renal disease; hepatitis C; incarcerated; renal transplantation