Rouchi Alireza Heidary, Mahdavi-Mazdeh Mitra
Clin Nephrol. 2016;86 (2016)(13):101-105. doi: 10.5414/CNP86S109.
To delineate the kidney transplantation programs in the Middle East and to provide a comparative summary with other international datasets where deemed appropriate.
Data regarding kidney transplantation as the treatment of choice amongst renal replacement therapies in different countries in the Middle East was analyzed from 2004 to 2013. The number of kidney transplants and the source of kidneys were important topics of comparison. All data was collected from published reports and international registries.
Eight of 23 countries in the Middle East had active kidney transplantation programs from both living and deceased donors in 2013. The kidney transplantation rate in 2013 was 11.5 per million population in the Middle East compared with 31.68 in America, 27.38 in Europe, 5.68 in the Western Pacific, 3.38 in South Asia, and 0.5 in Africa. The proportion of kidney transplants from deceased donors was 69.5%, 63.1%, 60.9%, 30.2%, 19.4%, and 6.2% in Europe, America, the Western Pacific, the Middle East, South Asia, and Africa, respectively.
Public education on the subject of brain death and cadaveric organs as a reliable source of saving lives and provision of better infrastructure could increase the rate of kidney transplantation from brain-dead donors. Lack of funds and a negative attitudes towards organ donation are the main barriers in the Middle East.
描绘中东地区的肾脏移植项目，并在适当的时候与其他国际数据集进行比较总结。
分析了2004年至2013年中东不同国家将肾脏移植作为肾脏替代疗法中首选治疗方法的数据。肾脏移植的数量和肾脏来源是比较的重要主题。所有数据均从已发表的报告和国际登记处收集。
2013年中东23个国家中有8个国家开展了来自活体和已故捐赠者的活跃肾脏移植项目。2013年中东地区的肾脏移植率为每百万人口11.5例，而美国为31.68例，欧洲为27.38例，西太平洋为5.68例，南亚为3.38例，非洲为0.5例。已故捐赠者的肾脏移植比例在欧洲、美国、西太平洋、中东、南亚和非洲分别为69.5%、63.1%、60.9%、30.2%、19.4%和6.2%。
关于脑死亡和尸体器官作为拯救生命的可靠来源以及提供更好基础设施的公众教育，可以提高来自脑死亡捐赠者的肾脏移植率。资金短缺和对器官捐赠的消极态度是中东地区的主要障碍。
