title: Epidemiological Characteristics of the Largest Kidney Transplant Program in Mexico: Western National Medical Center, Mexican Institute of Social Security.
abstract: BACKGROUND
  According to the National Transplant Center (CENATRA), in 2013, a total of 2707 transplantations were performed in Mexico; of them, 10% (270 transplantations) were done in our Tertiary Care Hospital (Western National Medical Center). This means that one in 10 transplant recipients undergoes transplantation at our medical center. The aim of our study was to describe the characteristics of and to compare changes in the kidney transplantation program over time.
  
  
  METHODS
  This was a cross-sectional study. Data were collected from the hospital transplant registry from January 1994 to December 2014.
  
  
  RESULTS
  During the study period, 3643 kidney transplantations were conducted; most were living donor 3236 (89%), and only 407 patients (11%) received a graft from a deceased donor. Of living donors, 2786 (87%) were related, and 450 (13%) were genetically unrelated. The average recipient age was 28 years, and the average age of the donor was 34 years. It was observed that siblings donated more frequently (51%), followed by parents (34%). Among unrelated donors, spouses donated the most (66%). In 80% of cases, the cause of end-stage renal disease (ESRD) was unknown (80%). The most frequent renal replacement therapy was peritoneal dialysis (54%), followed by hemodialysis (18%); only 5% of patients received preemptive kidney transplant. The most frequent immunosuppression scheme was tacrolimus, mycophenolate mofetil, and prednisone in 70% of patients.
  
  
  CONCLUSIONS
  The Western National Medical Center is the largest kidney transplantation program in Mexico. The main activity is living donor transplantation. Recipients are relatively young persons with unknown etiology of ESRD.
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: E
authors: E
authors: Solis-Vargas
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. Electronic address: evangelistadoctor@yahoo.com.
authors: L A
authors: LA
authors: Evangelista-Carrillo
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: A
authors: A
authors: Puentes-Camacho
authors: Unidad de Investigación Médica en Enfermedades Renales, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: E
authors: E
authors: Rojas-Campos
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: J
authors: J
authors: Andrade-Sierra
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: J I
authors: JI
authors: Cerrillos-Gutiérrez
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: J J
authors: JJ
authors: Nieves-Hernández
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: B
authors: B
authors: Jalomo-Martínez
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: M
authors: M
authors: Medina-Pérez
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: P
authors: P
authors: Martínez-Martínez
authors: Departamento de Nefrología y Trasplantes, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: F J
authors: FJ
authors: Monteón-Ramos
authors: Unidad de Investigación Médica en Enfermedades Renales, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors: B
authors: B
authors: Gómez-Navarro
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006085:Graft Survival; D006801:Humans; D007165:Immunosuppression Therapy; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012042:Registries; D012943:Social Security; D013997:Time Factors; D009927:Tissue and Organ Procurement / Q000458:organization & administration* / Q000706:statistics & numerical data; D055815:Young Adult