Renal Transplantation, the Iranian Model Publisher



Mahdavimazdeh M¹ ; Rouchi AH¹ Show Affiliations
Source: Chronic Kidney Disease in Disadvantaged Populations Published:2017

Abstract

Contrary to other countries, Iran, a middle-income country, tried to solve the problem of organ shortage by focusing first on living donors, known as The Iranian Model, and later on brain dead donors (BDD) also known as the, inverted funnel approach. Up, until 2000, when the BDD Act was legislated, living unrelated donation was promoted by the government by announcing it as legal and providing financial aid of altruism. However, after 2000, most of the allocated transplantation budget, was redirected to the BBD program. Gradually, the percentage of transplantation from this source increased from 2% in 2000 to close to 50% in 2014. Important features of this model have been the same citizenship of donor and recipient, performance of procedure in academic hospitals by expert hands, in addition to obtaining informed consent not only by the donor, but also from his/her next of kin. However, the main drawback of this program has been the lack of a robust donor follow up. © 2017 Elsevier Inc. All rights reserved.