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Comparative Study
. 2008 Nov;3(6):1820-8.
doi: 10.2215/CJN.02180508. Epub 2008 Oct 15.

Transplant tourism in the United States: a single-center experience

Jagbir Gill  1 , Bhaskara R Madhira, David Gjertson, Gerald Lipshutz, J Michael Cecka, Phuong-Thu Pham, Alan Wilkinson, Suphamai Bunnapradist, Gabriel M Danovitch
Affiliations
Comparative Study

Transplant tourism in the United States: a single-center experience

Jagbir Gill et al. Clin J Am Soc Nephrol. 2008 Nov.

Abstract

Background and objectives: Transplant "tourism" typically refers to the practice of traveling outside the country of residence to obtain organ transplantation. This study describes the characteristics and outcomes of 33 kidney transplant recipients who traveled abroad for transplant and returned to University of California, Los Angeles (UCLA) for follow-up.

Design, settings, participants, & measurements: Posttransplantation outcomes were compared between tourists and a matched cohort of patients who underwent transplantation at UCLA (matched for age, race, transplant year, dialysis time, previous transplantation, and donor type). Median follow-up time was 487 d (range 68 to 3056).

Results: Compared with all patients who underwent transplantation at UCLA, tourists included more Asians and had shorter dialysis times. Most patients traveled to their region of ethnicity with the majority undergoing transplantation in China (44%), Iran (16%), and the Philippines (13%). Living unrelated transplants were most common. Tourists presented to UCLA a median of 35 d after transplantation. Four patients required urgent hospitalization, three of whom lost their grafts. Seventeen (52%) patients had infections, with nine requiring hospitalization. One patient lost her graft and subsequently died from complications related to donor-contracted hepatitis B. One-year graft survival was 89% for tourists and 98% for the matched UCLA cohort (P = 0.75). The rate of acute rejection at 1 yr was 30% in tourists and 12% in the matched cohort.

Conclusions: Tourists had a more complex posttransplantation course with a higher incidence of acute rejection and severe infectious complications.

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Figures

Figure 1.
Figure 1.
Numbers of transplants tourism cases over time.
Figure 2.
Figure 2.
Number of transplants by donor type and transplanting country. LURD, living-unrelated donor; LRD, living-related donor. Pakistan, Turkey, Peru, and Egypt all had a single LURD. Thailand and Mexico each had a single LRD.
See this image and copyright information in PMC

Comment in

  • Transplant tourism: a growing phenomenon.
    Cohen DJ. Cohen DJ. Nat Clin Pract Nephrol. 2009 Mar;5(3):128-9. doi: 10.1038/ncpneph1039. Epub 2009 Jan 27. Nat Clin Pract Nephrol. 2009. PMID: 19174768
  • The hazards of transplant tourism.
    Delmonico FL. Delmonico FL. Clin J Am Soc Nephrol. 2009 Feb;4(2):249-50. doi: 10.2215/CJN.05801108. Clin J Am Soc Nephrol. 2009. PMID: 19218470 No abstract available.

References

    1. Leichtman AB, Cohen D, Keith D, O’Connor K, Goldstein M, McBride V, Gould CJ, Christensen LL, Ashby VB: Kidney and pancreas transplantation in the United States, 1997–2006: The HRSA Breakthrough Collaboratives and the 58 DSA Challenge. Am J Transplant 8: 946–957, 2008 - PubMed
    1. OPTN: Waiting list by organ as of March 2. Available at: http://www.OPTN.org/data. Accessed April 2, 2008
    1. Budiani-Saberi DA, Delmonico FL: Organ trafficking and transplant tourism: A commentary on the global realities. Am J Transplant 8: 925–929, 2008 - PubMed
    1. Salahudeen AK, Woods HF, Pingle A, Nur-El-Huda Suleyman M, Shakuntala K, Nandakumar M, Yahya TM, Daar AS: High mortality among recipients of bought living-unrelated donor kidneys. Lancet 336: 725–728, 1990 - PubMed
    1. Kennedy SE, Shen Y, Charlesworth JA, Mackie JD, Mahony JD, Kelly JJ, Pussell BA: Outcome of overseas commercial kidney transplantation: An Australian perspective. Med J Aust 182: 224–227, 2005 - PubMed

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