Zuidema W, Tronchet N, Luchtenburg A, de Klerk M, Ijzermans J N M, Weimar W
Departments of Internal Medicine, Social Work, General Surgery, Erasmus MC, Rotterdam, The Netherlands.
Transplant Proc. 2005 Mar;37(2):598-9. doi: 10.1016/j.transproceed.2005.02.021.
The increasing number of immigrant residents has resulted in more foreign patients on the kidney transplant waiting list. While the willingness of their relatives to participate in a living kidney donation program is not different from that of relatives of autochthonous patients, many extra logistic and financial problems have to be solved, when the potential donor has to travel to Rotterdam. The fear of the authorities that the donor might stay in the Netherlands after donation is another hurdle.
We analysed 395 living kidney transplantations performed in Rotterdam from 1981 to 2003. In 32 instances the donor came from abroad. Another 14 potential foreign donors came to Rotterdam but did not donate for various reasons. We calculated the costs for visa, travel, insurance, and loss of income. Total financial impact for the 46 (potential) donors, amounted to capital JE, Ukrainian 56,604.09, which is capital JE, Ukrainian 1768.88 per actual performed donation. One kidney donor remained illegally in the Netherlands.
We conclude that the efforts and support for foreign kidney donors to come to the Netherlands is justified and cost-effective. No evidence was found for a kidney donation immigration route.
移民居民数量的增加导致肾移植等待名单上的外国患者增多。虽然他们的亲属参与活体肾捐赠项目的意愿与本地患者的亲属没有差异，但当潜在捐赠者必须前往鹿特丹时，许多额外的后勤和财务问题必须得到解决。当局担心捐赠者在捐赠后可能留在荷兰是另一个障碍。
我们分析了1981年至2003年在鹿特丹进行的395例活体肾移植手术。其中32例捐赠者来自国外。另有14名潜在的外国捐赠者来到鹿特丹，但由于各种原因未进行捐赠。我们计算了签证、旅行、保险和收入损失的费用。46名（潜在）捐赠者的总财务影响为1768.88乌克兰格里夫纳（相当于56,604.09乌克兰格里夫纳资本），即每例实际进行的捐赠为1768.88乌克兰格里夫纳资本。一名肾捐赠者非法留在了荷兰。
我们得出结论，为外国肾捐赠者前往荷兰所做的努力和提供的支持是合理且具有成本效益的。未发现肾捐赠移民途径的证据。
