Volume 20, Issue 3 pp. 177-183
Original Article

A 25-year experience of kidney transplantation in Thailand: Report from the Thai Transplant Registry

Kajohnsak Noppakun

Corresponding Author

Kajohnsak Noppakun

Renal Division, Department of Internal Medicine, Chiang Mai University, Chiang Mai, Thailand

Correspondence:

Dr Kajohnsak Noppakun, Renal Division, Department of Internal Medicine, Chiang Mai University, Chiang Mai, Thailand. Email: [email protected]

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Atiporn Ingsathit

Atiporn Ingsathit

Division of Nephrology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

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Cholatip Pongskul

Cholatip Pongskul

Renal Division, Department of Medicine, Khon Kaen University, Khon Kaen, Thailand

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Nalinee Premasthian

Nalinee Premasthian

Division of Nephrology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

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Yingyos Avihingsanon

Yingyos Avihingsanon

Division of Nephrology, Department of Medicine, Chulalongkorn University, Bangkok, Thailand

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Adisorn Lumpaopong

Adisorn Lumpaopong

Renal Division, Department of Pediatrics, Phramongkutklao College of Medicine, Bangkok, Thailand

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Kriangsak Vareesangthip

Kriangsak Vareesangthip

Division of Nephrology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

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Vasant Sumethkul

Vasant Sumethkul

Division of Nephrology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

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for theSubcommittee for Kidney Transplant Registry and Thai Transplantation Society

Subcommittee for Kidney Transplant Registry and Thai Transplantation Society

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First published: 10 December 2014
Citations: 31

Abstract

Aim

To report the kidney transplant activity and survival data during the past 25 years from the Thai Transplant Registry.

Methods

By using the registry database that was collected and updated yearly by 26 transplant centres across the country, we have reported the donor, recipient, and transplant characteristics during the past 25 years from 1987 to 2012. The primary outcome was graft loss that was defined as return to dialysis, graft removal, retransplant, or patient death.

Results

465 kidney transplants were performed in 2012, an 8.1% and 23.0% increase in living and deceased donor transplants compared to the previous year, respectively. Between 1987 and 2012 with the data of 3808 recipients, patient survival and graft survival improved significantly. Traffic accident was the most common cause of death in brain-dead donors. Additionally, the most common cause of end-stage kidney disease was glomerulonephritis. Infection has been among the most common causes of death in kidney transplant recipients.

Conclusion

We have reported the total number, the graft and the patient survival data of kidney transplant recipients in Thailand for the period from 1987 to 2012. Although the number of patients is much lower than that in the developed countries, the patients and the graft survival rates are comparable.

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