Transplantation Scenario in India Today
Abstract
The incidence of end organ damage and irreversible organ failure is rising in India today at a faster rate than ever before. The rising incidence of diabetes mellitus and life style diseases has made its impact to produce this scenario. The alarming fact is that organ transplantation has not increased to the extent needed to counter this health problem. Thus more people die with irreversible renal failure, liver failure and heart failure than get treated with proper organ transplantation at the correct time. More often it is due to inadequate number of centres performing the procedures, high mismatch between the number of patients waiting for transplantation and the number of available transplantable organs, poor financial resources and the high cost of the operative procedures and cost of postoperative Immunosuppression therapy.1-3 With the setting up of the Indian Transplant Registry, transplant related data from various centres in India are collected and collated to derive information regarding the number of transplants done in the country, essential demographic data of Indian patients undergoing transplant, the immunosuppressive regimen used in various centres, the short term and long term results of the allograft, complications during the management in short term and long term, patient survival after transplants, the HLA profile of Indian patients, numbers of living and cadaver transplants, relationship in case of related transplants, and profile of donors, Figures being mentioned are 1,50,000 patients waiting for renal transplantation while only 5000 get timely renal transplantation done. Nearly 1,00,000 patients reach end stage liver disease and a much lower number get timely liver transplantation.
When publishing with Kerala Medicial Journal (KMJ), authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Work includes the material submitted for publication and any other related material submitted to KMJ. In the event that KMJ does not publish said work, the author(s) will be so notified and all rights assigned hereunder will revert to the author(s).
The assignment of rights to KMJ includes but is not expressly limited to rights to edit, publish, reproduce, distribute copies, include in indexes or search databases in print, electronic, or other media, whether or not in use at the time of execution of this agreement.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
The author(s) hereby represents and warrants that they are sole author(s) of the work, that all authors have participated in and agree with the content and conclusions of the work, that the work is original, and does not infringe upon any copyright, propriety, or personal right of any third party, and that no part of it nor any work based on substantially similar data has been submitted to another publication.
