Méndez-Durán A

Language: Spanish
References: 13
Page: 51-55
PDF size: 210.57 Kb.

ABSTRACT

Introduction: The substitute therapies of the renal function constitute a support of life, nevertheless they are temporary treatments until realizing renal transplantation (TR), meanwhile the complications are present the deterioration of the quality and reduction of the life expectancy. The TR rehabilitates, gives the possibility of a normal life, family, social and labor reintegration. The reference to TR day by day becomes more frequent and knowing the behavior will allow to implement improvement strategies. Material and methods: Retrospective and cross-sectional study conducted from 2014 to 2019, includes data on references to TR generated by the general and regional hospitals of the IMSS of subjects up to 65 years of age. Reference location is identified, gender, age, cause of chronic renal failure (CRF), modality of replacement therapy. Results: 19,979 patients were referred, 12,386 were male (62%) and 7,593 female (38%), aged 1 to 65 years, the group of 20 to 29 years was the most prevalent (30%). The highest number of references received peritoneal dialysis 9,166 (46%), hemodialysis 8,981 (45%), and 1,832 (9%) pre-dialysis. The reference increased 8.7% annual average in all the dialysis modalities. Conclusions: The reference presents a continuous increase and pre-dialysis patients each year are referred in greater numbers. The demand for renal transplantation exceeds the needs of the institution and offers a large area of opportunity to favor a greater number of patients.

REFERENCES

1. Estado actual de receptores, donación y trasplantes. 3er. trimestre 2019. Centro Nacional de Trasplantes. Secretaría de Salud. Gobierno de México. 2019. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/500964/3erTrimestre2019.pdf Consultado 13 de enero de 2020.

2. Solís-Vargas E, Evangelista-Carrillo LA, Puentes-Camacho A, Rojas-Campos E, Andrade-Sierra J, Gómez-Navarro B et al. Epidemiological characteristics of the largest kidney transplant program in Mexico: Western National Medical Center, Mexican Institute of Social Security. Transplant Proc. 2016; 48 (6): 1999-2005.

3. Méndez DA, Ignorosa Luna M, Pérez AG, Rivera RF, González IJ, Dávila TJ. Estado actual de las terapias sustitutivas de la función renal en el Instituto Mexicano del Seguro Social. Rev Med Inst Mex Seguro Soc. 2016; 54 (5): 588-593.

4. Knoll G, Cockfield S, Blydt-Hansen T, Baran D, Kiberd B, Landsberg D et al. For the Kidney Transplant Working Group of the Canadian Society of Transplantation. Canadian Society of Transplantation consensus guidelines on eligibility for kidney transplantation. CMAJ. 2005; 173 (10): 1181-1184.

5. Lia Y, Lib J, Fub Q, Chenb L, Feib J, Dengb S et al. Kidney transplantation from brain-dead donors: initial experience in China. Transplant Proc. 2016; 48 (8): 2592-2595.

6. Bahena CL. Trasplante cruzado y ABO incompatible. Cambio en el panorama tradicional de trasplante renal en México. Rev Sanid Milit Mex. 2018; 72 (2): 133-140.

7. Terner M, Redding N, Wu J. Increasing rates of kidney failure care in Canada strains demand for kidney donors. Healthc Q. 2016; 19 (3): 10-12.

8. Kroth LV, Barreiro FF, Saitovitch D, Traesel MA, D’Avila DO, Poli-de-Figueiredo CE. Kidney transplantation at a Southern Brazilian university hospital: a 35-year practice review. Transplant Proc. 2016; 48 (7): 2272-2275.

9. Kramer A, Stel VS, Abad Diez JM et al. Renal replacement therapy in Europe-a summary of the 2010 ERA-EDTA Registry Annual Report. Clin Kidney J. 2013; 6 (1): 105-115.

10. Molnar MZ, Mehrotra R, Duong U, Bunnapradist S, Lukowsky LR, Krishnan M et al. Dialysis modality and outcomes in kidney transplant recipients. Clin J Am Soc Nephrol. 2012; 7: 332-341.

11. Lim HJ, Jambaldorj E, Lee Y, Kang SS, Koo TY, Ahn C et al. Increasing use of the expanded criteria for living kidney donation and good outcomes of living kidney donors in Korea. Transplant Proc. 2016; 48 (7): 2407-2411.

12. Nemes B, Fedor R, Kanyári Z, Lösey L, Juhász F, Kovács DÁ et al. First outcomes, since being full member of Eurotransplant. A single center experience of cadaveric kidney transplantation. Orv Hetil. 2016; 157 (24): 925-937.

13. Boletín Estadístico Informativo del Centro Nacional de Trasplantes BEI-CENATRA. Secretaría de Salud. Gobierno de México. 2017; Vol. II (2): 49.