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Transplants in Foreign Countries Among Patients Removed from the US Transplant Waiting List.
Am J Transplant. 2008 Apr; 8(4 Pt 2):988-96.AJ

Abstract

Transplant tourism, where patients travel to foreign countries specifically to receive a transplant, is poorly characterized. This study examined national data to determine the minimum scope of this practice. US national waiting list removal data were analyzed. Waiting list removals for transplant without a corresponding US transplant in the database were reviewed via a data validation query to transplant centers to identify foreign transplants. Additionally, waiting list removal records with text field entries indicating a transplant abroad were identified. We identified 373 foreign transplants (173 directly noted; 200 from data validation); most (89.3%) were kidney transplants. Between 2001 and 2006, the annual number of waiting list removals for transplant abroad increased. Male sex, Asian race, resident and nonresident alien status and college education were significantly and independently associated with foreign transplant. Recipients from 34 states, plus the District of Columbia, received foreign transplants in 35 countries, led by China, the Philippines and India. Transplants in foreign countries among waitlisted candidates in the US are increasingly performed. The data reported here represent the minimum number of cases and the full extent of this practice cannot be determined using existing data. Additional reporting requirements are needed.

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Authors+Show Affiliations

Merion RM
Department of Surgery, University of Michigan, Ann Arbor, MI, USA. merionb@umich.edu
Barnes AD
No affiliation info available
Lin M
No affiliation info available
Ashby VB
No affiliation info available
McBride V
No affiliation info available
Ortiz-Rios E
No affiliation info available
Welch JC
No affiliation info available
Levine GN
No affiliation info available
Port FK
No affiliation info available
Burdick J
No affiliation info available

MeSH

AsiaGeographyHumansRegistriesTissue and Organ ProcurementTransplantationTravelUnited StatesWaiting Lists

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18336701

Citation

Merion, R M., et al. "Transplants in Foreign Countries Among Patients Removed From the US Transplant Waiting List." American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, vol. 8, no. 4 Pt 2, 2008, pp. 988-96.
Merion RM, Barnes AD, Lin M, et al. Transplants in Foreign Countries Among Patients Removed from the US Transplant Waiting List. Am J Transplant. 2008;8(4 Pt 2):988-96.
Merion, R. M., Barnes, A. D., Lin, M., Ashby, V. B., McBride, V., Ortiz-Rios, E., Welch, J. C., Levine, G. N., Port, F. K., & Burdick, J. (2008). Transplants in Foreign Countries Among Patients Removed from the US Transplant Waiting List. American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 8(4 Pt 2), 988-96. https://doi.org/10.1111/j.1600-6143.2008.02176.x
Merion RM, et al. Transplants in Foreign Countries Among Patients Removed From the US Transplant Waiting List. Am J Transplant. 2008;8(4 Pt 2):988-96. PubMed PMID: 18336701.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transplants in Foreign Countries Among Patients Removed from the US Transplant Waiting List. AU - Merion,R M, AU - Barnes,A D, AU - Lin,M, AU - Ashby,V B, AU - McBride,V, AU - Ortiz-Rios,E, AU - Welch,J C, AU - Levine,G N, AU - Port,F K, AU - Burdick,J, PY - 2008/3/14/pubmed PY - 2008/4/26/medline PY - 2008/3/14/entrez SP - 988 EP - 96 JF - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JO - Am J Transplant VL - 8 IS - 4 Pt 2 N2 - Transplant tourism, where patients travel to foreign countries specifically to receive a transplant, is poorly characterized. This study examined national data to determine the minimum scope of this practice. US national waiting list removal data were analyzed. Waiting list removals for transplant without a corresponding US transplant in the database were reviewed via a data validation query to transplant centers to identify foreign transplants. Additionally, waiting list removal records with text field entries indicating a transplant abroad were identified. We identified 373 foreign transplants (173 directly noted; 200 from data validation); most (89.3%) were kidney transplants. Between 2001 and 2006, the annual number of waiting list removals for transplant abroad increased. Male sex, Asian race, resident and nonresident alien status and college education were significantly and independently associated with foreign transplant. Recipients from 34 states, plus the District of Columbia, received foreign transplants in 35 countries, led by China, the Philippines and India. Transplants in foreign countries among waitlisted candidates in the US are increasingly performed. The data reported here represent the minimum number of cases and the full extent of this practice cannot be determined using existing data. Additional reporting requirements are needed. SN - 1600-6143 UR - https://www.unboundmedicine.com/medline/citation/18336701/Transplants_in_Foreign_Countries_Among_Patients_Removed_from_the_US_Transplant_Waiting_List_ L2 - https://doi.org/10.1111/j.1600-6143.2008.02176.x DB - PRIME DP - Unbound Medicine ER -