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Prediction system for risk of allograft loss in patients receiving kidney transplants: international derivation and validation study

BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4923 (Published 17 September 2019) Cite this as: BMJ 2019;366:l4923

Trends in Kidney transplantation in India

The article by Loupy and colleagues is well-timed.[1] With such efforts, better clinical outcomes could be designed in future for patients undergoing renal transplantation.

Countries like Spain and France are making kidney transplantation a common practice, thus creating hope for millions of people suffering from End Stage Renal Diseases. India, a developing country, is also trying to popularize organ transplantation. Under the leadership of the National Organ and Tissue Transplant Organization (NOTTO), there is a documented constant rise in the rate of kidney transplantation (from 3.22 per million population in 2013 to 5.86 per million population in 2018).[2] Five other Regional centres have also been set up to synchronize the efforts of organ procurement and distribution. With a focus on awareness generation, the centres are engaged in maintaining registry of data, networking and promotion of organ donation. To prevent organ trading, the Transplantation of Human Organs Act was framed in 1994 and was amended by Parliament in 2011, with the provision of imprisonment and fines for defaulters.[3]

References
1. Loupy A, Aubert O, Orandi BJ, et al. Prediction system for risk of allograft loss in patients receiving kidney transplants: international derivation and validation study. BMJ 2019; 366:l4923.
2. Global Observatory on Donation and Transplant. (Available at http://www.transplant-observatory.org/summary/, last accessed on 26th September, 2019)
3. National Organ and Tissue Transplant Organization (Available at https://www.notto.gov.in/index.htm, last accessed on 26th September, 2019)

Competing interests: No competing interests

26 September 2019
Manas P Roy
Public Health Specialist
New Delhi