Initial report of the Korean organ transplant registry: The first report of national kidney transplantation data

C. Ahn, T. Y. Koo, J. C. Jeong, M. Kim, J. Yang, J. Lee, S. I. Min, J. E. Lee, M. S. Kim, O. J. Kwon, S. J. Kim, Y. H. Kim, Y. H. Kim, B. S. Choi, S. J.N. Choi, D. H. Lee, S. Y. Chung, W. H. Cho, Y. S. Kim

Research output: Contribution to journalArticle

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Abstract

Purpose A national organ transplant registry is an indispensable organizational requirement for patient care, research, and planning. Even though the Korean Network for Organ Sharing (KONOS) has established a database for a waiting list, organ allocation, and incidence of organ transplantation since 2000, an integrated registry including post-transplantation data is needed for better understanding of organ transplantation. Recently, the Korean Society for Transplantation (KST) and the Korean Center for Disease Control (KCDC) designed a web-based organ transplant registry, named the Korean Organ Transplant Registry (KOTRY). As an initial project of KOTRY, we retrospectively analyzed kidney transplantations (KTs) performed in 2009 and 2010. Methods A total of 2292 KTs (91.9%) from 46 hospitals (80.7%) were collected and analyzed. Ninety-five elements related to KT were selected and analyzed. Results Proportions of male recipients and retransplantations were 58.4% and 7.1%, respectively. Even though glomerulonephritis was the most common cause of end-stage renal disease (ESRD) (28.4%), the number of diabetic nephropathy cases was increasing. The living donor (LD) to deceased donor (DD) ratio was 1.69:1. Because of a serious organ shortage in Korea, DD kidneys with a low initial estimated glomerular filtration rate (eGFR) of <45 mL/min/1.73 m 2 (21.2%) and expanded criteria donors (ECDs; 18.3%) are frequently used. Other noticeable findings are the increasing number of wife donors and ABO-incompatible (ABOi) transplants for O + recipients. Conclusions The epidemiological profile of transplantation is different from country to country. The number of organ transplantations in East Asian countries is rapidly growing, however, there are few epidemiological data about this region in the literature. With the establishment of KOTRY, it was possible to present the first nationwide epidemiological data of Korean KTs.

Original languageEnglish
Pages (from-to)425-430
Number of pages6
JournalTransplantation Proceedings
Volume46
Issue number2
DOIs
Publication statusPublished - 2014 Mar

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Kidney Transplantation
Registries
Transplants
Organ Transplantation
Tissue Donors
Transplantation
Patient Care Planning
Waiting Lists
Living Donors
Diabetic Nephropathies
Centers for Disease Control and Prevention (U.S.)
Korea
Glomerulonephritis
Glomerular Filtration Rate
Spouses
Chronic Kidney Failure
Databases
Kidney
Incidence
Research

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

Cite this

Ahn, C. ; Koo, T. Y. ; Jeong, J. C. ; Kim, M. ; Yang, J. ; Lee, J. ; Min, S. I. ; Lee, J. E. ; Kim, M. S. ; Kwon, O. J. ; Kim, S. J. ; Kim, Y. H. ; Kim, Y. H. ; Choi, B. S. ; Choi, S. J.N. ; Lee, D. H. ; Chung, S. Y. ; Cho, W. H. ; Kim, Y. S. / Initial report of the Korean organ transplant registry : The first report of national kidney transplantation data. In: Transplantation Proceedings. 2014 ; Vol. 46, No. 2. pp. 425-430.
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title = "Initial report of the Korean organ transplant registry: The first report of national kidney transplantation data",
abstract = "Purpose A national organ transplant registry is an indispensable organizational requirement for patient care, research, and planning. Even though the Korean Network for Organ Sharing (KONOS) has established a database for a waiting list, organ allocation, and incidence of organ transplantation since 2000, an integrated registry including post-transplantation data is needed for better understanding of organ transplantation. Recently, the Korean Society for Transplantation (KST) and the Korean Center for Disease Control (KCDC) designed a web-based organ transplant registry, named the Korean Organ Transplant Registry (KOTRY). As an initial project of KOTRY, we retrospectively analyzed kidney transplantations (KTs) performed in 2009 and 2010. Methods A total of 2292 KTs (91.9{\%}) from 46 hospitals (80.7{\%}) were collected and analyzed. Ninety-five elements related to KT were selected and analyzed. Results Proportions of male recipients and retransplantations were 58.4{\%} and 7.1{\%}, respectively. Even though glomerulonephritis was the most common cause of end-stage renal disease (ESRD) (28.4{\%}), the number of diabetic nephropathy cases was increasing. The living donor (LD) to deceased donor (DD) ratio was 1.69:1. Because of a serious organ shortage in Korea, DD kidneys with a low initial estimated glomerular filtration rate (eGFR) of <45 mL/min/1.73 m 2 (21.2{\%}) and expanded criteria donors (ECDs; 18.3{\%}) are frequently used. Other noticeable findings are the increasing number of wife donors and ABO-incompatible (ABOi) transplants for O + recipients. Conclusions The epidemiological profile of transplantation is different from country to country. The number of organ transplantations in East Asian countries is rapidly growing, however, there are few epidemiological data about this region in the literature. With the establishment of KOTRY, it was possible to present the first nationwide epidemiological data of Korean KTs.",
author = "C. Ahn and Koo, {T. Y.} and Jeong, {J. C.} and M. Kim and J. Yang and J. Lee and Min, {S. I.} and Lee, {J. E.} and Kim, {M. S.} and Kwon, {O. J.} and Kim, {S. J.} and Kim, {Y. H.} and Kim, {Y. H.} and Choi, {B. S.} and Choi, {S. J.N.} and Lee, {D. H.} and Chung, {S. Y.} and Cho, {W. H.} and Kim, {Y. S.}",
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Ahn, C, Koo, TY, Jeong, JC, Kim, M, Yang, J, Lee, J, Min, SI, Lee, JE, Kim, MS, Kwon, OJ, Kim, SJ, Kim, YH, Kim, YH, Choi, BS, Choi, SJN, Lee, DH, Chung, SY, Cho, WH & Kim, YS 2014, 'Initial report of the Korean organ transplant registry: The first report of national kidney transplantation data', Transplantation Proceedings, vol. 46, no. 2, pp. 425-430. https://doi.org/10.1016/j.transproceed.2013.11.083

Initial report of the Korean organ transplant registry : The first report of national kidney transplantation data. / Ahn, C.; Koo, T. Y.; Jeong, J. C.; Kim, M.; Yang, J.; Lee, J.; Min, S. I.; Lee, J. E.; Kim, M. S.; Kwon, O. J.; Kim, S. J.; Kim, Y. H.; Kim, Y. H.; Choi, B. S.; Choi, S. J.N.; Lee, D. H.; Chung, S. Y.; Cho, W. H.; Kim, Y. S.

In: Transplantation Proceedings, Vol. 46, No. 2, 03.2014, p. 425-430.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Initial report of the Korean organ transplant registry

T2 - The first report of national kidney transplantation data

AU - Ahn, C.

AU - Koo, T. Y.

AU - Jeong, J. C.

AU - Kim, M.

AU - Yang, J.

AU - Lee, J.

AU - Min, S. I.

AU - Lee, J. E.

AU - Kim, M. S.

AU - Kwon, O. J.

AU - Kim, S. J.

AU - Kim, Y. H.

AU - Kim, Y. H.

AU - Choi, B. S.

AU - Choi, S. J.N.

AU - Lee, D. H.

AU - Chung, S. Y.

AU - Cho, W. H.

AU - Kim, Y. S.

PY - 2014/3

Y1 - 2014/3

N2 - Purpose A national organ transplant registry is an indispensable organizational requirement for patient care, research, and planning. Even though the Korean Network for Organ Sharing (KONOS) has established a database for a waiting list, organ allocation, and incidence of organ transplantation since 2000, an integrated registry including post-transplantation data is needed for better understanding of organ transplantation. Recently, the Korean Society for Transplantation (KST) and the Korean Center for Disease Control (KCDC) designed a web-based organ transplant registry, named the Korean Organ Transplant Registry (KOTRY). As an initial project of KOTRY, we retrospectively analyzed kidney transplantations (KTs) performed in 2009 and 2010. Methods A total of 2292 KTs (91.9%) from 46 hospitals (80.7%) were collected and analyzed. Ninety-five elements related to KT were selected and analyzed. Results Proportions of male recipients and retransplantations were 58.4% and 7.1%, respectively. Even though glomerulonephritis was the most common cause of end-stage renal disease (ESRD) (28.4%), the number of diabetic nephropathy cases was increasing. The living donor (LD) to deceased donor (DD) ratio was 1.69:1. Because of a serious organ shortage in Korea, DD kidneys with a low initial estimated glomerular filtration rate (eGFR) of <45 mL/min/1.73 m 2 (21.2%) and expanded criteria donors (ECDs; 18.3%) are frequently used. Other noticeable findings are the increasing number of wife donors and ABO-incompatible (ABOi) transplants for O + recipients. Conclusions The epidemiological profile of transplantation is different from country to country. The number of organ transplantations in East Asian countries is rapidly growing, however, there are few epidemiological data about this region in the literature. With the establishment of KOTRY, it was possible to present the first nationwide epidemiological data of Korean KTs.

AB - Purpose A national organ transplant registry is an indispensable organizational requirement for patient care, research, and planning. Even though the Korean Network for Organ Sharing (KONOS) has established a database for a waiting list, organ allocation, and incidence of organ transplantation since 2000, an integrated registry including post-transplantation data is needed for better understanding of organ transplantation. Recently, the Korean Society for Transplantation (KST) and the Korean Center for Disease Control (KCDC) designed a web-based organ transplant registry, named the Korean Organ Transplant Registry (KOTRY). As an initial project of KOTRY, we retrospectively analyzed kidney transplantations (KTs) performed in 2009 and 2010. Methods A total of 2292 KTs (91.9%) from 46 hospitals (80.7%) were collected and analyzed. Ninety-five elements related to KT were selected and analyzed. Results Proportions of male recipients and retransplantations were 58.4% and 7.1%, respectively. Even though glomerulonephritis was the most common cause of end-stage renal disease (ESRD) (28.4%), the number of diabetic nephropathy cases was increasing. The living donor (LD) to deceased donor (DD) ratio was 1.69:1. Because of a serious organ shortage in Korea, DD kidneys with a low initial estimated glomerular filtration rate (eGFR) of <45 mL/min/1.73 m 2 (21.2%) and expanded criteria donors (ECDs; 18.3%) are frequently used. Other noticeable findings are the increasing number of wife donors and ABO-incompatible (ABOi) transplants for O + recipients. Conclusions The epidemiological profile of transplantation is different from country to country. The number of organ transplantations in East Asian countries is rapidly growing, however, there are few epidemiological data about this region in the literature. With the establishment of KOTRY, it was possible to present the first nationwide epidemiological data of Korean KTs.

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