Past, present and future of kidney paired donation transplantation in India

Table 1 Outcome of single center kidney paired donation program India[40-44]

	Pahwa et al[41]	Waigankar et al[40]	Jha et al[42]	Kute et al[43]	Kute et al[44]
Duration	2006-2011	2008-2011	2010-2013	2000-2012	2013
Patients (n)	44	14	26	70	56
2-way exchange	22	7	13	35	25
Follow up	3 yr	12-18 mo	20 mo (median)	2.72 yr (mean)	1 yr
Graft survival	100%	100%	92.30%	81%	97.50%
Patient survival	97.70%	100%	96.16%	90%	94.60%
Acute rejection	-	14.20%	11.50%	14.20%	16%
Reason for joining kidney paired donation (n)
ABO incompatible	40	8	26	56	52
Sensitized	4	0	0	14	4

Table 2 Advantages and disadvantages of single vs multicentre kidney paired donation transplant

	Singe center	Multicenter
Donor pool	Less	More
Donor transport	Not required	Required
Shipping of kidneys	Not required	Required
Surgical team skills	Same	Different
Surgical team requirement	More	Less
Cold ischemia time	Less	More
Hospital atmosphere	Familiar	Unfamiliar
Follow up	Same center	Difficult follow up
Administrative cost	Less	More