Kidney transplantation in Indonesia: An update

Area of Science:

• Nephrology
• Transplant Surgery
• Public Health

Background:

• Kidney transplantation is growing in Indonesia, yet publications are limited, especially outside Jakarta.
• This study provides an overview of kidney transplantation in Indonesia, focusing on Semarang.
• It highlights current progress and challenges in the field.

Purpose of the Study:

• To provide an overview of kidney transplantation in Indonesia.
• To discuss current efforts and progress in Semarang and other centers.
• To identify key areas for future development in national transplantation programs.

Main Methods:

• Retrospective analysis of 20 kidney transplant cases in Semarang (2014-2018).
• Data collection through formal correspondence with 11 central teaching hospitals across Indonesia.
• Analysis of 245 kidney transplant cases with viable data from 12 centers.

Main Results:

• A total of 629 kidney transplantations were recorded across 12 centers.
• The average recipient age was 35.4 years, and the average donor age was 41.3 years.
• Hypertension (37.4%) and diabetes mellitus (26.1%) were the leading causes of end-stage renal disease; related donors predominated (49.0%), with only one cadaveric donor case.

Conclusions:

• Indonesia has made significant progress in overcoming barriers to kidney transplantation.
• Future efforts should focus on developing integrated transplant infrastructure and decentralizing expertise.
• Establishing a national kidney transplant database and public education on cadaveric donation are crucial.