Ten-yr results of the trans-Atlantic kidney transplant airlift between the Dutch Caribbean and the Netherlands

Robert C. Minnee, Neubury Lardy, Nouaf Ajubi, Mirza M. Idu, Romeo V. Kock, Dink A. Legemate, Karlijn A. M. I. van Donselaar-van der Pant, Frederike J. Bemelman

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Abstract

The prevalence of end-stage renal failure in Curacao (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
Original languageEnglish
Pages (from-to)302-307
JournalClinical transplantation
Volume25
Issue number2
DOIs
Publication statusPublished - 2011

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