Document 0670
 DOCN  M9460670
 TI    Outcome of bought living non-related donor kidneys followed up at a
       single centre.
 DT    9404
 AU    Onwubalili JK; Obineche EN; Assuhaimi S; Bassiouni M; Renal Unit, King
       Fahad Hospital at AL-Baha, Saudi Arabia.
 SO    Transpl Int. 1994;7(1):27-32. Unique Identifier : AIDSLINE MED/94161847
 AB    Between October 1985 and November 1991, 16 dialysis patients travelled
       to Bombay and bought kidneys from living non-related Indian donors for
       U.S. $7,372. One patient died peri-operatively; one contracted HIV and
       another hepatitis B virus infections. Six patients are presently
       positive for hepatitis C virus antibody compared to two cadaver graft
       recipients (P = 0.03); two of the six patients have chronic active
       hepatitis. Five-year patient and graft survival rates (75% and 43%,
       respectively) were similar to those of recipients of 24 cadaver grafts
       obtained in the United States (67% and 55%, respectively), as was graft
       function during the first 5 years of follow-up. Graft survival may have
       improved following commercial kidney transplantation in Bombay, but this
       practise still poses a risk of dangerous infections and exploitation of
       donors and recipients. The establishment of a centralized programme of
       anonymous rewarded gifting in countries that cannot eradicate rampant
       organ commerce may help to expunge exploitation and to ensure uniform,
       acceptable clinical standards and the safety of patients.
 DE    Adult  Commerce  Female  Follow-Up Studies  Graft Survival/*PHYSIOLOGY
       Hemodialysis  Hepatitis, Viral, Human/ETIOLOGY  Human  HIV
       Infections/ETIOLOGY  India  Kidney Transplantation/ADVERSE
       EFFECTS/*ECONOMICS/MORTALITY  Male  Organ Procurement/*ECONOMICS
       *Tissue Donors  Treatment Outcome  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).