title: A 25-year experience of kidney transplantation in Thailand: report from the Thai Transplant Registry.
abstract: OBJECTIVE
  To report the kidney transplant activity and survival data during the past 25 years from the Thai Transplant Registry.
  
  
  METHODS
  By using the registry database that was collected and updated yearly by 26 transplant centres across the country, we have reported the donor, recipient, and transplant characteristics during the past 25 years from 1987 to 2012. The primary outcome was graft loss that was defined as return to dialysis, graft removal, retransplant, or patient death.
  
  
  RESULTS
  465 kidney transplants were performed in 2012, an 8.1% and 23.0% increase in living and deceased donor transplants compared to the previous year, respectively. Between 1987 and 2012 with the data of 3808 recipients, patient survival and graft survival improved significantly. Traffic accident was the most common cause of death in brain-dead donors. Additionally, the most common cause of end-stage kidney disease was glomerulonephritis. Infection has been among the most common causes of death in kidney transplant recipients.
  
  
  CONCLUSIONS
  We have reported the total number, the graft and the patient survival data of kidney transplant recipients in Thailand for the period from 1987 to 2012. Although the number of patients is much lower than that in the developed countries, the patients and the graft survival rates are comparable.
authors.affiliation: Renal Division, Department of Internal Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Kajohnsak
authors.initials: K
authors.lastname: Noppakun
authors.forename: Atiporn
authors.initials: A
authors.lastname: Ingsathit
authors.forename: Cholatip
authors.initials: C
authors.lastname: Pongskul
authors.forename: Nalinee
authors.initials: N
authors.lastname: Premasthian
authors.forename: Yingyos
authors.initials: Y
authors.lastname: Avihingsanon
authors.forename: Adisorn
authors.initials: A
authors.lastname: Lumpaopong
authors.forename: Kriangsak
authors.initials: K
authors.lastname: Vareesangthip
authors.forename: Vasant
authors.initials: V
authors.lastname: Sumethkul
mesh_terms: D000328:Adult; D005260:Female; D006084:Graft Rejection / Q000276:immunology / Q000401:mortality / Q000517:prevention & control*; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000401:mortality; D008297:Male; D008875:Middle Aged; D012042:Registries; D006435:Renal Dialysis; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013785:Thailand / Q000453:epidemiology; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution; D009927:Tissue and Organ Procurement; D016896:Treatment Outcome; D055815:Young Adult
keywords: brain-dead donor; end-stage kidney disease; kidney transplant; living donor; transplant registry