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 m2 (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.
|Number of pages||6|
|Publication status||Published - 2014 Mar|
Bibliographical noteFunding Information:
This study was supported by the Korean Society for Transplantation .
Based on the expanding activity in the field of transplantation, the KONOS has created a database since 2000. However, the KONOS database has limitations because it was made for data related to waiting list and organ allocation, therefore, no comprehensive post-transplantation data are available in Korea. The Korean Society for Transplantation (KST) has been making efforts to establish a nationwide database to improve the quality of patient care and research. In 2010, the KST conducted a preliminary study titled “A Study on the Establishment of National Organ Transplant Database System” (grant no. 2010E8200300) with the support of the Korean Center for Disease Control and Prevention (KCDC). The steering committee consisted of KST and the KONOS members, and specialists in database construction. They reviewed critical elements for the database, set operating regulations, established a web-based program for the organ transplantation registry, and created the Korean Organ Transplantation Registry (KOTRY). Herein, we report on the initial data for KTs performed in 2009 and 2010 as the pilot study of KOTRY.
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