Kute Vivek B, Kumar Anil, Yadav Awadhesh Kumar, Pradhan Shiny Suman, Arora Sumana, Sunthlia Avinash, Kharbuli Indakiewlin, Potsangbam Guliver, Sharma Manjuri, Chhakchhuak Malsawmkima, Paul Samaresh, Sharma Sourabh, Gautam Abhisek, Chohwanglim Manong, Mibang Naloh, Golay Vishal, Chaudhury Arpita Ray, Balwani Manish, Srivastava Aneesh, Abraham Georgi, Meshram Hari Shankar, Modi Pranjal, Barman Anup Kumar, Goel Atul
Department of Nephrology, Institute of Kidney Diseases and Research Center, Ahmedabad, Gujarat, India.
National Organ and Tissue Transplant Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, Delhi, India.
Transplant Direct. 2025 Apr 9;11(5):e1786. doi: 10.1097/TXD.0000000000001786. eCollection 2025 May.
India is the third highest in terms of the total number of organ transplants in a year worldwide mainly based on living donor transplants. The number of deceased donor transplants has been limited in India ranking only at the 68th position of 94 countries that reported data to Global Observatory on Organ Donation and Transplantation during the year 2022.
Representatives of National Organ and Tissue Transplant Organisation in addition to local transplant experts from Northeast India and Indian Society of Organ Transplantation discussed challenges and potential solutions for organ transplantation in Northeast India at the National Organ and Tissue Transplant Organisation session during the India Society of Organ Transplantation 2023 annual conference held at Kolkata.
Here, we summarize deliberations on the opportunities for the care of patients with end-stage-organ failure in India with a focus on the Northeast part of the country. States in the Northeast face many problems for establishing organ transplant programs including but not limited to difficult terrain, lack of skilled healthcare providers (qualified doctors, nursing staff, and technicians) needed for dialysis and organ transplants, financial constraints, administrative issues, limited infrastructure in both government and private hospitals and, in addition, history of lacking support by professional societies. Discussions focused on establishing organ retrieval centers, minimal criteria for starting an organ transplant center, guidelines on how to start a new State Organ and Tissue Transplant Organization, establishing retrieval and transplant centers with support from National Organ Transplant Program, recent reforms in organ donation and transplantation, in addition to overcoming medical, surgical, immunological, administrative, sociocultural, geographic/regional challenges for organ transplantation in Northeast India.
Overall, deliberations aimed at providing a basis for policy makers to start and expand organ transplantation in low and low- to-middle income and infrastructurally poor states.
印度是全球一年内器官移植总数排名第三的国家，主要基于活体供体移植。在印度， deceased donor 移植数量有限，在2022年向全球器官捐赠和移植观察站报告数据的94个国家中仅排名第68位。
国家器官和组织移植组织的代表，以及印度东北部的当地移植专家和印度器官移植协会，在加尔各答举行的2023年印度器官移植协会年会上的国家器官和组织移植组织会议上，讨论了印度东北部器官移植的挑战和潜在解决方案。
在此，我们总结了关于印度终末期器官衰竭患者护理机会的讨论，重点关注该国东北部地区。东北部各邦在建立器官移植项目方面面临许多问题，包括但不限于地形复杂、缺乏透析和器官移植所需的熟练医疗保健提供者（合格医生、护理人员和技术人员）、资金限制、行政问题、政府和私立医院基础设施有限，此外，专业协会缺乏支持的历史。讨论的重点是建立器官获取中心、启动器官移植中心的最低标准、如何启动新的邦器官和组织移植组织的指南、在国家器官移植项目的支持下建立获取和移植中心、器官捐赠和移植的近期改革，以及克服印度东北部器官移植在医学、外科、免疫学、行政、社会文化、地理/区域方面的挑战。
总体而言，讨论旨在为政策制定者在低收入、低中收入和基础设施薄弱的邦启动和扩大器官移植提供依据。
