title: Reproducible model to perform kidney transplantation in a low-resource population.
abstract: BACKGROUND
  In several countries, organ transplantation is limited. We describe the implementation of a model to perform kidney transplantation in a low-resource population through a financial mechanism sharing public, patient, and private foundations funds.
  
  
  METHODS
  This was a cohort study of 100 low-resource patients undergoing renal transplantation at the Hospital General of México. The mean age of the transplanted population was 30.07 ± 11.4 years, from which 84% reported an income <400 USD/month. Ninety percent of grafts were obtained from live donors.
  
  
  RESULTS
  The survival rate at 1 year after the procedure was 98%. Patient rehabilitation after transplantation included the incorporation of individuals into productive life and work. The economically active population increased from 8% to 40% after the transplant procedure. The model was successfully implemented as the result of (i) adequate incorporation of medical staff with solid experience in organ transplantation; (ii) institutional public policy and collaboration between diverse services to support donors and receptors; and (iii) financial collaboration to attract resources and funds to guarantee access to immunosuppressants.
  
  
  CONCLUSIONS
  Our results led toward an operational, reproducible model for transplanting patients in developing and financial crisis countries, reflecting beneficial long-lasting effects on the patient from the therapeutic, clinical, and economic points of view.
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: A
authors.initials: A
authors.lastname: Rossano
authors.affiliation: Department of Nephrology, Hospital General de México, Mexico City, Mexico.
authors.forename: R
authors.initials: R
authors.lastname: Valdez-Ortiz
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: L
authors.initials: L
authors.lastname: Garcia
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: O
authors.initials: O
authors.lastname: Valdés
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: A
authors.initials: A
authors.lastname: Cícero
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: H
authors.initials: H
authors.lastname: Hinojosa
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: D
authors.initials: D
authors.lastname: Fernandez
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: R
authors.initials: R
authors.lastname: Bautista
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: P
authors.initials: P
authors.lastname: Díaz
authors.affiliation: Department of Surgery, Hospital General de México, Mexico City, Mexico.
authors.forename: J
authors.initials: J
authors.lastname: Zavala
authors.affiliation: Department of Surgery, Hospital General de México, Mexico City, Mexico.
authors.forename: F
authors.initials: F
authors.lastname: Navarro-Reynoso
authors.affiliation: Department of Pathology, Hospital General de México, Mexico City, Mexico.
authors.forename: V
authors.initials: V
authors.lastname: Soto
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico; Department of Nephrology, Hospital General de México, Mexico City, Mexico. Electronic address: zepedapedro@hotmail.com.
authors.forename: P
authors.initials: P
authors.lastname: San-Cristobal
authors.affiliation: Department of Transplantation, Hospital General de México, Mexico City, Mexico.
authors.forename: H S
authors.initials: HS
authors.lastname: Díliz
mesh_terms: D000328:Adult; D003906:Developing Countries; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006779:Hospitals, Public / Q000458:organization & administration; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation / Q000191:economics / Q000401:mortality; D019520:Living Donors; D008297:Male; D008800:Mexico; D008875:Middle Aged; D017146:Models, Organizational; D016730:Program Development; D055815:Young Adult