J Korean Med Sci.  2011 Jan;26(1):17-21. 10.3346/jkms.2011.26.1.17.

Trend and Outcome of Korean Patients Receiving Overseas Solid Organ Transplantation between 1999 and 2005

Affiliations
  • 1Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sklee3464@skku.edu
  • 2Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Abstract

The disparity between patients awaiting transplantation and available organs forced many patients to go overseas to receive a transplant. Few data concerning overseas transplantation in Korea are available and the Korea Society for Transplantation conducted a survey to evaluate the trend and outcome of overseas transplantation. The survey, conducted on June 2006, included 25 hospitals nationwide that followed up patients after receiving kidney transplant (KT) or liver transplant (LT) overseas. The number of KT increased from 6 in 2001 to 206 in 2005 and for LT from 1 to 261. The information about overseas transplant came mostly from other patients (57%). The mean cost for KT was dollar 21,000 and for LT dollar 47,000. Patients were admitted for 18.5 days for KT and 43.4 days for LT. Graft and patient survival was 96.8% and 96.5% for KT (median follow up 23.1 months). Complication occurred in 42.5% including surgical complication (5.3%), acute rejection (9.7%) and infection (21.5%). Patient survival for LT was 91.8% (median follow up 21.2 months). Complication occurred in 44.7% including 19.4% biliary complication. Overseas KT and LT increased rapidly from 2001 to 2005. Survival of patients and grafts was comparable to domestic organ transplantation, but had a high complication rate.

Keyword

Transplant Tourism; Medical Tourism; Commercial Organ Transplantation; Kidney Transplantation; Liver Transplantation; Outcome

MeSH Terms

Graft Rejection/complications
Graft Survival
Humans
Kidney Transplantation/adverse effects/economics/trends
Liver Transplantation/adverse effects/economics/trends
Organ Transplantation/adverse effects/economics/*trends
Postoperative Complications/epidemiology
Questionnaires
Republic of Korea

Figure

  • Fig. 1 Annual number of kidney transplantation reported in Korea. The proportion of domestic deceased donor, domestic living donor and overseas kidney transplantation is shown. The proportion of domestic deceased donor kidney transplantation has not changed over time (from 17.0% to 17.8%) while overseas transplantation has increased abruptly since 2002. Deceased (□), living (■), and overseas (■) kidney transplantation.

  • Fig. 2 Annual number of liver transplantation reported in Korea. Overseas domestic deceased donor, domestic living donor and overseas liver transplantation is shown. Overseas transplantation has increased exponentially since 2002. Deceased (□), living (■), and overseas (■) liver transplantation.


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