Evaluation of Patients on the Deceased Kidney Waiting List of Bursa Uludağ University Medical Faculty according to Gender, Age, Blood Type and Renal Replacement Therapies

Authors : Ersin ELGİN, Mehmet Fethullah AYDIN, Abdülmecit YILDIZ, Ayşegül ORUÇ, Suat AKGÜR, Mehmet SEZEN, Mehmet ÇİÇEK, Kadir GÜNSEREN, İbrahim Ethem ARSLAN, Sahriye KESKİN, Rafet OFLAZ, İlknur ARSLAN, Alparslan ERSOY

Pages : 27-28

Doi:10.46310/tjim.876465

View : 38 | Download : 15

Publication Date : 2021-03-07

Article Type : Other Papers

Abstract :In Turkey, there is 22953 end-stage kidney disease patient in national deceased kidney waiting list insert ignore into journalissuearticles values(1);. According to the 2019 Registry Report of the Turkish Society of Nephrology, the number of patients receiving hemodialysis insert ignore into journalissuearticles values(HD); and peritoneal dialysis insert ignore into journalissuearticles values(PD); treatment is 64633 insert ignore into journalissuearticles values(2);. However, patients registered on the national kidney waiting list consist of preemptive, PD, and HD patients. Due to the increase in the average life expectancy of the elderly population in our country, chronic kidney disease and comorbid diseases are increasing day by day. In this study, the patients’ characteristics on the deceased kidney waiting list from our kidney transplant center were evaluated retrospectively. Our center`s patient data were obtained from Transplantation Dialysis Monitoring System records. Turkey’s general patient data were obtained from the Turkish Statistical Institute and the 2019 Registry Report of the Turkish Society of Nephrology. In our center, the number of patients on the deceased donor kidney waiting list was 420 insert ignore into journalissuearticles values(HD: 301, PD: 24, preemptive 95);. The number of female patients was 162 insert ignore into journalissuearticles values(38.6%);, and the number of male patients was 258 insert ignore into journalissuearticles values(61.4%);. The age distribution of the patients 0-9: 1.1%, 10-19: 3%, 20-29: 4.4%, 30-39: 11.6%, 40-49: 20%, 50-59: 24.4%, 60-69: 26.8%, 70-79: 7.8% and 80-89: 0.2%. The blood group distribution of patients was consistent with Turkey`s general data. [0 Rh insert ignore into journalissuearticles values(+);: 26.7%, 0 Rh insert ignore into journalissuearticles values(-);: 3.1%, A Rh insert ignore into journalissuearticles values(+); 43.3%, A Rh insert ignore into journalissuearticles values(-); 5.7%, B Rh insert ignore into journalissuearticles values(+); 11%, B Rh insert ignore into journalissuearticles values(-); 1.7%, AB Rh insert ignore into journalissuearticles values(+); 8.1% and AB Rh insert ignore into journalissuearticles values(-); 0.5%]. The number of male patients was higher than female patients in other age groups except the 40-49 and 80-89 age range insert ignore into journalissuearticles values(Figure 1);. Our patients` distribution by gender and kidney replacement therapies was in line with the 2019 Registry Report of the Turkish Society of Nephrology. An increase in comorbid diseases and kidney failure in advanced age also increases health expenditures. The Republic of Turkey Ministry of Health aims to increase the awareness of kidney disease and the rate of early diagnosis with the `Turkey Kidney Diseases Prevention and Control Program` insert ignore into journalissuearticles values(3);. In our center, the highest number of patients on the deceased kidney waiting list was observed in the age range of 60-69, 50-59, and 40-49, respectively. Physical quality of life worsens as the dialysis period prolongs and the patient ages. Therefore, elderly HD patients need more social and mental support insert ignore into journalissuearticles values(4);. The donor`s age is 60 years and above is one of the extended donor criteria insert ignore into journalissuearticles values(EDC);. Using kidneys with advanced age and EDC criteria in candidates of similar age may increase patient and graft survival and physical quality of life. For this reason, policies should be developed to ensure the transplantation of EDC grafts to patients who will benefit most.
Keywords : EDC, Kidney Failure, Right to Health

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