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Observational Study
. 2024;160(5):486-492.
doi: 10.24875/GMM.24000186.

Bridging the gap: assessing organ donation and transplantation rates in northeast of Mexico. A transplant program with 27 years of experience

Marco A Arizmendi-Villarreal  1 , Jorge Cantú-Hernández  2 , Francisco J Reyna-Sepulveda  2 , Aranza León  2 , Cecilia A Galindo-Garza  1 , Gerardo E Muñoz-Maldonado  1 , Edelmiro Pérez-Rodríguez  2 , Homero A Zapatal-Chavira  2
Affiliations
Free article
Observational Study

Bridging the gap: assessing organ donation and transplantation rates in northeast of Mexico. A transplant program with 27 years of experience

Marco A Arizmendi-Villarreal et al. Gac Med Mex. 2024.
Free article

Abstract
in English, Spanish

Background: Transplants are the current therapeutic standard for organ failure. In Mexico, there are currently almost 20,000 patients waiting for a solid organ or tissue transplant.

Objective: To summarize the rates of organ donation and transplants in the northeast of Mexico.

Material and methods: We performed an observational, retrospective, epidemiological study using the collected data of solid organ and tissue transplants performed in 27 hospitals licensed for organ donation and transplantation in Nuevo Leon between 1996 and 2022. This study was approved by the clinical and epidemiological research committee of the Secretaria de Salud de Nuevo Leon.

Results: From 1996 to 2022, 14,834 transplants were performed in Nuevo Leon. 4,185 (28.2%) were solid organ transplants and 10,649 (71.8%) were tissue transplants. Kidney transplants represented 84.3% (n = 3,528) of solid organ transplants, while corneal transplants represented 66% (n = 7047) of tissue transplants. From 2015 to 2022, organ and tissue donations reported in the state of Nuevo Leon represented an average of 5% of the national reported donations.

Conclusions: Nuevo Leon has made significant advances in donation and transplantation, achieving good coverage for its population. However, there are many limitations in the current donation and transplantation system.

Antecedentes: El trasplante es el tratamiento para la falla orgánica. En México, hay casi 20,000 pacientes en espera de un trasplante de órgano sólido o tejido.

Objetivo: Resumir la experiencia de un programa de donación y trasplante en el Noreste de México.

Material y métodos: Se realizó un estudio epidemiológico, observacional, retrospectivo, utilizando los datos: tasas de donación, trasplante de órganos y tejidos realizados en 27 hospitales del estado de Nuevo León, durante 1996 y 2022. Éste estudio fue aprobado por comité de investigación clínica y epidemiológica de la Secretaría de Salud del estado.

Resultados: De 1996 a 2022, se realizaron 14,834 trasplantes en Nuevo León. 4, 185 (28.2%) fueron de órgano sólido y 10, 649 (71.8%) de córnea y otros tejidos. El trasplante renal representó el 84.3% (n = 3,528) de los trasplantes de órgano, mientras que el corneal fue el 66% (n = 7047) de los trasplantes de tejidos. Del 2015 al 2022, las donaciones reportadas en Nuevo León representaron una media del 5% de la tasa nacional de donaciones.

Conclusiones: Nuevo León con grandes avances en donación y trasplante, ha logrado una buena cobertura a su población. Sin embargo, existen muchas limitaciones en el sistema actual de donación y trasplante.

Keywords: Donación de órganos; Donation rates; Organ donation; Organ transplantation; Programa de trasplantes; Tasas de donación; Tissue transplantation; Transplant program; Transplantation; Trasplante; Trasplante de tejidos; Trasplante de órganos.

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