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The short supply of cadaveric kidneys has been a persistent bottleneck in providing the benefits of renal allotransplantation to patients with end-stage renal disease. An article in the August issue of Archives of Surgery (111:871-873, 1976) describes how a regionally organized retrieval effort can triple the yield of cadaveric kidneys for use in a transplant center over the number previously obtained from a large metropolitan area (Kansas City).
Local hospital personnel were trained for a week in the basics of kidney retrieval, preservation, and preparation for shipping, while local physicians attended orientation programs and a workshop. Public education efforts rounded out the program.
Eighteen months before the program was started, 65 kidneys were obtained from 35 donors. In a corresponding six-month period 18 months after the program was started, 160 kidneys were harvested from 83 donors. Particularly heartening was the gain in kidneys used for transplantation: from 65% before the
de Jong RH. Kidney Retrieval. JAMA. 1976;236(19):2215. doi:10.1001/jama.1976.03270200053038
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