Donor and Recipient Selection

  • Stuart M. Flechner


Kidney transplantation has evolved from an experiment to the preferred form of replacement therapy for the majority of patients suffering from end-stage renal disease (ESRD) (1,2). During the 1980s, the number of transplants performed in the United States increased yearly, but has now plateaued at about 10,000 cases per year due primarily to the current ceiling of available cadaveric organs (3,4). This fact, coupled with an ever-increasing number of new patients maintained on dialysis, has made transplantation available to no more than 5% of the current ESRD population. As reported to the Health Care Financing Administration by January 1, 1992, there were 180,000 patients receiving dialysis therapy of all types in the United States (5). In the previous year, 10,052 received kidney transplants—7667 from cadaveric donors and 2385 from living donors—which left an additional 18,314 patients on active waiting lists for a donor kidney (6). It has also been estimated that an additional 10,000–20,000 ESRD patients would elect to receive a kidney transplant if they received further education and information and if the available pool of cadaveric kidneys were expanded.


Graft Survival Brain Death Renal Transplant Recipient Transplant Proc ESRD Patient 
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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Stuart M. Flechner
    • 1
  1. 1.Department of Urology/A100 Section of Renal Transplantation ClevelandClinic FoundationClevelandUSA

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