Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

01 January 2003

Kidney donor profile in Spain: risks factors and characteristics of the organs rejected for transplantation.

B Miranda, J Canón, M T Naya, N Cuende, G Garrido, E Fernández-Zincke

Ann Transplant 2003; 8(2): 9-16 :: ID: 142808


During recent years organ donation in Spain has increased by 100%, withimportant changes seen in the donor profile. Mean age has increased by more than 10 years, being nowadaysmore than 33% of our donors over 60 years. Ten years ago road traffic trauma was the main cause of death,while now most of our donors die due to stroke and only 21% die in a traffic accident. This changes leadto an increase in the number of kidneys discarded for transplantation every year. Among the 2517 kidneysretrieved during 2001, 567 were discarded, mainly due to different glomerular, interstitial or vascularpathologic damage. The older is the donor the higher is the percentage of kidneys discarded. It has tobe underlined that an increased number of livers from donors, whose kidneys could not be used, are beinggrafted (141 in 2001 over 281 donors from whom no kidney could be grafted and over a total number of1335 donors). Only 5% of kidneys were discarded due to technical problems. An important number of kidneyswere discarded due to malignancy suspicion or diagnosis (12.3%). Organ donation has improved but kidneytransplantation did not in parallel, due to the increasing number of kidneys discarded for transplantationin close relation with the evolution of donor's characteristics. Organ donation rate is around 33 donorsper million population while efficient organ donation rate is around 30 donors per million. Only from67% of donors both kidneys can be grafted and from 20% of donors no kidney can be used. These data willnot change our policy, at least by the moment, we will continue to evaluate every potential brain deathdonor with the aim of studying if organs can be used. It is true that in 50% of cases over 70 years noorgan can be used after retrieval and microscopic exam, but in the other 50% we can proceed.

Add Comment 0 Comments

In Press

12 Feb 2024 : Original article  

No Prognostic Impact of Graft-to-Recipient Weight Ratio on Hepatocellular Carcinoma Recurrence Following Li...

Ann Transplant In Press; DOI: 10.12659/AOT.942767  

21 Feb 2024 : Original article  

Use of LCP-Tacrolimus (LCPT) in Kidney Transplantation: A Delphi Consensus Survey of Expert Clinicians

Ann Transplant In Press; DOI: 10.12659/AOT.943498  

Most Viewed Current Articles

05 Apr 2022 : Original article  

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :10.12659/AOT.935604

Ann Transplant 2022; 27:e935604

12 Jan 2022 : Original article  

Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...

DOI :10.12659/AOT.934738

Ann Transplant 2022; 27:e934738

22 Nov 2022 : Original article  

Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...

DOI :10.12659/AOT.937988

Ann Transplant 2022; 27:e937988

15 Mar 2022 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358