Increasing access to kidney transplantation in countries with limited resources: The Indian experience with Kidney Paired Donation (pages 599–604)
Vivek B Kute, Aruna V Vanikar, Pankaj R Shah, Manoj R Gumber, Himanshu V Patel, Divyesh P Engineer, Pranjal R Modi, Veena R Shah and Hargovind L Trivedi
Article first published online: 26 SEP 2014 | DOI: 10.1111/nep.12307
Summary at a Glance
In countries like India, where a well-organized deceased donor kidney transplantation program is not available, living donor kidney transplantation is the major source of organs for kidney transplantation. Because access to transplantation with human leukocyte antigen (HLA)-desensitization protocols and ABO incompatible transplantation is very limited due to high costs and increased risk of infections from more intense immunosuppression, kidney paired donation (KPD) promises hope to a growing number of end stage kidney disease patients. KPD is a rapidly growing and cost-effective living donor kidney transplantation strategy for patients who are incompatible with their healthy, willing living donor. In principle, KPD is feasible for any centre that performs living donor kidney transplantation. KPD does not require extra infrastructure and decreases waiting time.