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Nephrology Dialysis Transplantation 2005 20(6):1034-1037; doi:10.1093/ndt/gfh821
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Editorial Comment

Living donor transplantation in the USA: are there any lessons for Europe?

John E. Scoble and Lisa Burnapp

Guy's and St Thomas' NHS Foundation Trust, Renal Unit, Guy's Hospital, London, UK

Correspondence and offprint requests to: Dr John E. Scoble, Guy's and St Thomas' NHS Foundation Trust, Renal Unit, 6th Floor, New Guy's House, Guy's Hospital, St Thomas' Street, London SE9, UK. Email: john.scoble@gstt.nhs.uk

Keywords: living donor transplantation

The first 150 words of the full text of this article appear below.

There is a great disparity between the supply of kidneys available for transplantation and the number of individuals who would benefit from transplantation in both Europe and the USA. Traditionally, cadaveric organ donation has been the bedrock of national transplant programmes and living donation has been seen as a way of increasing transplant rates in countries such as the UK. Historically, living donation has been extremely active in Scandinavian countries but less so in the rest of Europe (Figure 1). Many of us have observed the Scandinavian approach where national programmes have, over many years, become an established part of the medical and social cultures. In a country such as the UK, changing the medical and social cultures is a challenging prospect. However, the experience with living donation in the USA has been different. In 1992, the proportion of living donor transplants in the USA equalled the proportion . . . [Full Text of this Article]


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