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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Related Experiment Video

Updated: May 29, 2026

Orthotopic Kidney Auto-Transplantation in a Porcine Model Using 24 Hours Organ Preservation And Continuous Telemetry
07:58

Orthotopic Kidney Auto-Transplantation in a Porcine Model Using 24 Hours Organ Preservation And Continuous Telemetry

Published on: August 21, 2020

A renal transplantation model for developing countries.

S A H Rizvi1, S A A Naqvi, M N Zafar

  • 1Department of Urology, Sindh Institute of Urology and Transplantation, Civil Hospital, Karachi, Pakistan. arizvi@siut.org

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|September 3, 2011
PubMed
Summary
This summary is machine-generated.

A Pakistan government center provides free dialysis and kidney transplants through a 30-year community-government partnership. This sustainable model, offering services to 600 daily dialysis patients and 10-12 weekly transplant recipients, improves access to renal replacement therapy.

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Area of Science:

  • Nephrology
  • Public Health Policy
  • Transplantation Medicine

Background:

  • End-stage renal disease (ESRD) incidence in Pakistan is 100 per million population.
  • Limited access to renal replacement therapy (dialysis and transplantation) due to high costs affects most patients.
  • A significant gap exists between the need for and availability of kidney treatments.

Purpose of the Study:

  • To describe a sustainable, community-government partnership model for providing free renal replacement therapy in Pakistan.
  • To highlight the role of a specialized government center in improving access to dialysis and transplantation.
  • To evaluate the long-term outcomes and impact of this model on transplantation in the country.

Main Methods:

  • Establishment of a government-funded dialysis and transplant center based on community-government partnership.
  • Implementation of guiding principles: equity, transparency, accountability, and integrated facilities.
  • Sustained operation for 30 years with a significant annual budget and patient volume.

Main Results:

  • The center provides free services, dialyzing 600 patients daily and performing 10-12 transplants weekly.
  • Achieved 1- and 5-year graft survival rates of 92% and 85% for 3000 transplants.
  • Played a key role in combating transplant tourism and promoting altruistic transplants, leading to the 2007 transplant law.

Conclusions:

  • A community-government partnership model is effective for sustainable renal replacement therapy in developing countries.
  • Specialized government centers are crucial for advancing transplantation.
  • Community support is vital to make advanced medical treatments accessible to the general population.