Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)

Objectives. Brunei Darussalam has a high prevalence and incidence of end stage renal disease (ESRD). Up until 2012, all renal transplantations were performed in overseas centres, either as government-sponsored (living-related transplantation) or as self-sponsored (commercialized transplantation) one...

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Main Authors: Jackson Tan, Muhammad Abdul Mabood Khalil, Si Yen Tan, Muhammad Khalil, Dalinatul Ahmed, Shaukat Zinna, William Chong
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2014/784805
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author Jackson Tan
Muhammad Abdul Mabood Khalil
Si Yen Tan
Muhammad Khalil
Dalinatul Ahmed
Shaukat Zinna
William Chong
author_facet Jackson Tan
Muhammad Abdul Mabood Khalil
Si Yen Tan
Muhammad Khalil
Dalinatul Ahmed
Shaukat Zinna
William Chong
author_sort Jackson Tan
collection DOAJ
description Objectives. Brunei Darussalam has a high prevalence and incidence of end stage renal disease (ESRD). Up until 2012, all renal transplantations were performed in overseas centres, either as government-sponsored (living-related transplantation) or as self-sponsored (commercialized transplantation) ones. We hypothesize that graft and patient survival of Brunei renal transplant patients are on a par with international standards. Materials and Methods. Data of all renal transplant patients in Brunei were analysed over a twenty-year period from registry records and case notes. Comparative survival data from other countries were obtained from PubMed-listed literature. Results. A total of 49 transplantation procedures were performed in foreign centres between 1993 and 2012. 29 were government-sponsored and 20 were self-sponsored transplantations. The 5- and 10-year overall patient survival rates were 93.3% and 90.1%, respectively. The 5- and 10-year overall graft survival rates were 91.1% and 81.2%. There is no difference in the survival outcomes of government-sponsored and self-sponsored patients. Living-related (government-sponsored) and commercialised (self-sponsored) grafts had equivalent survival to those reported in the literature. Conclusion. Our survival data was on par with those achieved in many countries. We hope to use this information to convince local stakeholders and patients to favour transplantation as the preferred modality of RRT.
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spelling doaj-art-a6f5c6518e174fffa7218dd5eb163aac2025-08-20T03:38:50ZengWileyJournal of Transplantation2090-00072090-00152014-01-01201410.1155/2014/784805784805Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)Jackson Tan0Muhammad Abdul Mabood Khalil1Si Yen Tan2Muhammad Khalil3Dalinatul Ahmed4Shaukat Zinna5William Chong6RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei DarussalamAga Khan University Hospital, Karachi 74800, PakistanPrince Court Medical Centre, 50450 Kuala Lumpur, MalaysiaRIPAS Hospital, Bandar Seri Begawan BA1710, Brunei DarussalamRIPAS Hospital, Bandar Seri Begawan BA1710, Brunei DarussalamRIPAS Hospital, Bandar Seri Begawan BA1710, Brunei DarussalamRIPAS Hospital, Bandar Seri Begawan BA1710, Brunei DarussalamObjectives. Brunei Darussalam has a high prevalence and incidence of end stage renal disease (ESRD). Up until 2012, all renal transplantations were performed in overseas centres, either as government-sponsored (living-related transplantation) or as self-sponsored (commercialized transplantation) ones. We hypothesize that graft and patient survival of Brunei renal transplant patients are on a par with international standards. Materials and Methods. Data of all renal transplant patients in Brunei were analysed over a twenty-year period from registry records and case notes. Comparative survival data from other countries were obtained from PubMed-listed literature. Results. A total of 49 transplantation procedures were performed in foreign centres between 1993 and 2012. 29 were government-sponsored and 20 were self-sponsored transplantations. The 5- and 10-year overall patient survival rates were 93.3% and 90.1%, respectively. The 5- and 10-year overall graft survival rates were 91.1% and 81.2%. There is no difference in the survival outcomes of government-sponsored and self-sponsored patients. Living-related (government-sponsored) and commercialised (self-sponsored) grafts had equivalent survival to those reported in the literature. Conclusion. Our survival data was on par with those achieved in many countries. We hope to use this information to convince local stakeholders and patients to favour transplantation as the preferred modality of RRT.http://dx.doi.org/10.1155/2014/784805
spellingShingle Jackson Tan
Muhammad Abdul Mabood Khalil
Si Yen Tan
Muhammad Khalil
Dalinatul Ahmed
Shaukat Zinna
William Chong
Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)
Journal of Transplantation
title Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)
title_full Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)
title_fullStr Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)
title_full_unstemmed Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)
title_short Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)
title_sort outcomes of renal transplantation in brunei darussalam over a twenty year period 1993 2012
url http://dx.doi.org/10.1155/2014/784805
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