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Ten‐yr results of the trans‐Atlantic kidney transplant airlift between the Dutch Caribbean and the Netherlands
Author(s) -
Minnee Robert C.,
Lardy Neubury,
Ajubi Nouaf,
Idu Mirza M.,
Kock Romeo V.,
Legemate Dink A.,
van Donselaarvan der Pant Karlijn A.M.I.,
Bemelman Frederike J.
Publication year - 2011
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2010.01239.x
Subject(s) - medicine , dialysis , transplantation , surgery , end stage renal failure , kidney transplantation , confidence interval
Minnee RC, Lardy N, Ajubi N, Idu MM, Kock RV, Legemate DA, van Donselaar‐van der Pant KAMI, Bemelman FJ. Ten‐yr results of the trans‐Atlantic kidney transplant airlift between the Dutch Caribbean and the Netherlands.
Clin Transplant 2011: 25: 302–307. © 2010 John Wiley & Sons A/S. Abstract: The prevalence of end‐stage renal failure in Curaçao (Dutch Caribbean) is one of the highest in the world. In 1998, the St. Elisabeth Hospital started a unique trans‐Atlantic collaboration with the Academic Medical Center in Amsterdam, the Netherlands, and the Eurotransplant Foundation. The partnership aimed to achieve a structured transplantation program for patients in the Dutch Caribbean, who otherwise would need lifelong dialysis. This study is an analysis of the 10‐yr transplantation results of this trans‐Atlantic program. In 41 consecutive transplantations performed between January 1998 and April 2007, one‐yr graft survival and complication rates were retrospectively studied. Twenty‐four men and 17 women with a median age of 54 were transplanted. The median dialysis period prior to transplantation was 6.8 yr. The one‐yr graft survival rate was 69% (95% confidence interval: 52–80%). Initially 28 grafts functioned (68%); four grafts showed primary non‐function (10%) and delayed graft function developed in nine patients (22%). Ten recipients had 16 post‐operative complications. Our trans‐Atlantic program affords patients with end‐stage renal failure, who otherwise would need lifelong dialysis, a chance to be transplanted.