Transplantation Model- Analytical Review: A Strategic Proposal and Moral Obligation (original) (raw)
2020, Trends in Transplantation
Chronic kidney disease is rising worldwide in parallel to that of non-communicable disease. Kidney transplantation is the gold standard of care. We aim to provide a model for Oman transplantation and its health system This is a situational analysis of the incidence and prevalence of end-stage kidney disease in Oman. Also, we examined the transplantation trends and the health system. We review the local transplantation and the commercial transplantation. Further, we reviewed few transplantation models to provide some insight into Oman model of transplantation. Oman facing a tsunami of end-stage kidney disease. Its one-off a few countries around the world where almost people with functioning kidney transplant equal number on hemodialysis. However, majority of kidney transplantation were procured commercially outside the country. Upon their return home, these patients receive their full management at tertiary hospital without any further difficulties or issues of concern. Oman health system needs to further strengthen its health services. This requires a strong political lead with full logistic and financial incentives. Both citizens and residents need to receive the necessary health requirements for ESKD. Transplantation, both deceased and living donation, need to be improved with strong tie with World Health Organization and Istanbul Declaration rules adherence.
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