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Al-Thnaibat MH, Balaw MK, Al-Aquily MK, Ghannam RA, Mohd OB, Alabidi F, Alabidi S, Hussein F, Rawashdeh B. Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan. J Transplant 2024; 2024:4538034. [PMID: 38577225 PMCID: PMC10994704 DOI: 10.1155/2024/4538034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 01/09/2024] [Accepted: 03/18/2024] [Indexed: 04/06/2024] Open
Abstract
Jordan performed the Middle East's first living-donor kidney transplant in 1972. In 1977, the country became one of the first Arab countries to regulate organ donation and transplantation. Despite these early advances in living donor transplantation, Jordan's organ donation after brain death program remains inactive, making it challenging to meet organ demand and placing many patients on long transplant waiting lists. As of 2020, only 14.2% of the patients with end-stage kidney disease have access to a living donor. The scarcity of compatible living donors exacerbates Jordan's organ shortage, leaving patients with extended waits and uncertain transplant prospects. Due to the lack of living donors and the inactive brain death donation program, additional options are needed to meet organ demand. Kidney paired exchange (KPE), emerges as a potential solution to the problem of donor shortage and donor-recipient incompatibility. By allowing living donors to direct their donated organs to different compatible recipients, KPE offers the promise of expanding transplant opportunities for patients without suitable living donors. However, the current Jordanian law restricting living kidney donation to fifth-degree relatives further limits the pool of potential donors, aggravating the organ shortage situation. This article explores the feasibility of implementing KPE in Jordan and proposes an approach to implementing KPE in Jordan, considering ethical and legal aspects to substantially increase kidney transplants.
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Affiliation(s)
- Mohammad H. Al-Thnaibat
- Department of Internal Medicine, Faculty of Medicine, Hashemite University, Zarqa 13133, Jordan
| | | | | | - Reem A. Ghannam
- College of Medicine, Hashemite University, Zarqa 13133, Jordan
| | - Omar B. Mohd
- College of Medicine, Hashemite University, Zarqa 13133, Jordan
| | - Firas Alabidi
- Jordan University of Science and Technology, Irbid, Jordan
| | | | - Fadi Hussein
- Department of Nephrology, Aurora Health Care, Milwaukee, Wisconsin, USA
| | - Badi Rawashdeh
- Medical College of Wisconsin, Division of Transplant Surgery, Milwaukee, Wisconsin, USA
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Jamali M, Atarodi K, Nakhlestani M, Abolghasemi H, Sadegh H, Faranoosh M, Golzade K, Fadai R, Niknam F, Zarif MN. Cord blood banking activity in Iran National Cord Blood Bank: a two years experience. Transfus Apher Sci 2014; 50:129-35. [PMID: 24262492 DOI: 10.1016/j.transci.2013.09.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2013] [Revised: 09/09/2013] [Accepted: 09/30/2013] [Indexed: 10/26/2022]
Abstract
Today umbilical cord blood (UCB) has known as a commonly used source of hematopoietic stem cells for allogeneic transplantation and many cord blood banks have been established around the world for collection and cryopreservation of cord blood units. Herein, we describe our experience at Iran National Cord Blood Bank (INCBB) during 2 years of activity. From November 2010 to 2012, UCBs were collected from 5 hospitals in Tehran. All the collection, processing, testing, cryopreservation and storage procedures were done according to standard operation procedures. Total nucleated cells (TNC) count, viability test, CD34+ cell count, colony forming unit (CFU) assay, screening tests and HLA typing were done on all banked units. Within 3770 collected units, only 32.9% fulfilled banking criteria. The mean volume of units was 105.2 ml and after volume reduction the mean of TNC, viability, CD34+ cells and CFUs was 10.76×10(8), 95.2%, 2.99×10(6) and 7.1×10(5), respectively. One unit was transplanted at Dec 2012 to a 5-year old patient with five of six HLA compatibilities. In our country banking of UCB is new and high rate of hematopoietic stem cell transplants needs expanding CB banks capacity to find more matching units, optimization of methods and sharing experiences to improve biological characterization of units.
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Affiliation(s)
- Mostafa Jamali
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Iran National Cord Blood Bank, Iran Blood Transfusion Organization, Tehran, Iran
| | - Kamran Atarodi
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Iran National Cord Blood Bank, Iran Blood Transfusion Organization, Tehran, Iran
| | - Mozhdeh Nakhlestani
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Iran National Cord Blood Bank, Iran Blood Transfusion Organization, Tehran, Iran
| | - Hasan Abolghasemi
- Pediatric Congenital Hematologic Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hosein Sadegh
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Mohammad Faranoosh
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Khadije Golzade
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Iran National Cord Blood Bank, Iran Blood Transfusion Organization, Tehran, Iran
| | - Razieh Fadai
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
| | - Fereshte Niknam
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Iran National Cord Blood Bank, Iran Blood Transfusion Organization, Tehran, Iran
| | - Mahin Nikougoftar Zarif
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Iran National Cord Blood Bank, Iran Blood Transfusion Organization, Tehran, Iran.
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