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Over 3,500 Kidney Donations Disposed of Every Year in the USA: Report



Over 3,500 donated kidneys in the United States are discarded each year because of unnecessarily stringent rules, according to a report published this week.

On Monday, JAMA Internal Medicine broke the alarming news in light of the fact that approximately 5,000 people in the United States die annually while waiting for a kidney transplant.

"In the United States, 156,089 kidneys were recovered from deceased donors between 2004 and 2014, of whom 128,102 were transplanted and 27,987 (17.9%) were discarded," the study authors wrote.

According to researchers, the numbers are partly due to the "intense regulatory scrutiny" of US transplant programs, which are often at risk of losing their credentials if the allograft survival of the donated kidneys they use does not continue until intended . Alograft refers to a tissue graft of a donor that is not genetically identical to that of the recipient.

Other factors that contributed to the alarming number of discarded kidneys include the financial deterrents associated with lower quality kidney transplantation and the inaccurate use of biopsies to determine the quality of allografts.

"Although biopsies may provide information about scars, acute kidney damage, or chronic disease, biopsies can also promote unnecessary discard if pathological analysis is completed by persons with insufficient time and skills," the authors note.

Although researchers acknowledge that there is no concrete evidence to prove that kidney transplantation would be of any benefit, data show that the US is getting rid of twice as many donated kidneys as France, where the practice of transplanting European The country has "addressed the unmet need for transplantable organs by accepting higher quality kidneys from older donors."

A report by the National Kidney Foundation further states that 50 percent of that of the 3,600 kidneys that were dumped in the US in 2016, there may have been "transplants to prolong the lives of Americans otherwise treated with dialysis."

Experts have since suggested that US rules on kidney transplants should change.

"It is acknowledged that the overly rigorous and restrictive process of monitoring transplant programs in the United States has led to many transplant programs adopting a risk-counteracting approach," recently written by doctors Ryoichi Maenosono and Stefan G. Tullius. . "Hospital administrators and patients are drawn to superficial, five-star ranking approaches that are easy to read but do not necessarily reflect the approach of individual programs designed to provide their patients with best-waiting lists." [19659002] According to CNN, the Centers for Medicare and Medicaid Services are currently considering eliminating certain rules in response to the financial risk faced by transplant programs, though nothing has been announced so far.


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