Kute Vivek B, Fleetwood Vidya A, Chauhan Sanshriti, Meshram Hari Shankar, Caliskan Yasar, Varma Chintalapati, Yazıcı Halil, Oto Özgür Akın, Lentine Krista L
Department of Nephrology and Transplantation, Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation Sciences, Ahmedabad, India.
Center for Abdominal Transplantation, Saint Louis University School of Medicine, Saint Louis, MO, USA.
Curr Transplant Rep. 2023 Sep;10(3):117-125. doi: 10.1007/s40472-023-00401-9. Epub 2023 Aug 28.
We review the key principles of kidney paired donation (KPD) and discuss the status and unique considerations for KPD in developing countries.
Despite the advantages of KPD programs, they remain rare among developing nations, and the programs that exist have many differences with those of in developed countries. There is a paucity of literature and lack of published data on KPD from most of the developing nations. Expanding KPD programs may require the adoption of features and innovations of successful KPD programs. Cooperation with national and international societies should be encouraged to ensure endorsement and sharing of best practices.
KPD is in the initial stages or has not yet started in the majority of the emerging nations. But the logistics and strategies required to implement KPD in developing nations differ from other parts of the world. By learning from the KPD experience in developing countries and adapting to their unique needs, it should be possible to expand access to KPD to allow more transplants to happen for patients in need world-wide.
我们回顾了肾配对捐赠（KPD）的关键原则，并讨论了发展中国家KPD的现状及独特考量因素。
尽管KPD项目有诸多优势，但在发展中国家仍较为罕见，且现有项目与发达国家的项目存在诸多差异。大多数发展中国家关于KPD的文献匮乏且缺乏公开数据。扩大KPD项目可能需要采用成功KPD项目的特色与创新举措。应鼓励与国家和国际协会合作，以确保最佳实践方法得到认可和共享。
在大多数新兴国家，KPD尚处于初始阶段或尚未启动。但在发展中国家实施KPD所需的后勤保障和策略与世界其他地区不同。通过借鉴发展中国家的KPD经验并适应其独特需求，应能够扩大KPD的可及范围，从而让全球更多有需求的患者能够接受移植手术。
