Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan

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...

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Main Authors: Mohammad H. Al-Thnaibat, Mohammad K. Balaw, Mohammed K. Al-Aquily, Reem A. Ghannam, Omar B. Mohd, Firas Alabidi, Suzan Alabidi, Fadi Hussein, Badi Rawashdeh
Format: Article
Language:English
Published: Hindawi Limited 2024-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2024/4538034
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author Mohammad H. Al-Thnaibat
Mohammad K. Balaw
Mohammed K. Al-Aquily
Reem A. Ghannam
Omar B. Mohd
Firas Alabidi
Suzan Alabidi
Fadi Hussein
Badi Rawashdeh
author_facet Mohammad H. Al-Thnaibat
Mohammad K. Balaw
Mohammed K. Al-Aquily
Reem A. Ghannam
Omar B. Mohd
Firas Alabidi
Suzan Alabidi
Fadi Hussein
Badi Rawashdeh
author_sort Mohammad H. Al-Thnaibat
collection DOAJ
description 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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spelling doaj.art-1199d184b2034614b9164cae44f4b9042024-04-05T00:00:01ZengHindawi LimitedJournal of Transplantation2090-00152024-01-01202410.1155/2024/4538034Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in JordanMohammad H. Al-Thnaibat0Mohammad K. Balaw1Mohammed K. Al-Aquily2Reem A. Ghannam3Omar B. Mohd4Firas Alabidi5Suzan Alabidi6Fadi Hussein7Badi Rawashdeh8Department of Internal MedicineCollege of MedicineCollege of MedicineCollege of MedicineCollege of MedicineJordan University of Science and TechnologyAl Ain UniversityDepartment of NephrologyMedical College of WisconsinJordan 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.http://dx.doi.org/10.1155/2024/4538034
spellingShingle Mohammad H. Al-Thnaibat
Mohammad K. Balaw
Mohammed K. Al-Aquily
Reem A. Ghannam
Omar B. Mohd
Firas Alabidi
Suzan Alabidi
Fadi Hussein
Badi Rawashdeh
Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan
Journal of Transplantation
title Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan
title_full Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan
title_fullStr Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan
title_full_unstemmed Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan
title_short Addressing Kidney Transplant Shortage: The Potential of Kidney Paired Exchanges in Jordan
title_sort addressing kidney transplant shortage the potential of kidney paired exchanges in jordan
url http://dx.doi.org/10.1155/2024/4538034
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