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Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
allied
academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
O
rgan shortage for transplantation remains a worldwide
serious problem for kidney patients with end-stage renal
failure, and several countries have tried different models to
address this issue. Iran has 20 years of experience with one
such model that involves the active role of the government
and charity foundations. Patients with a desperate demand
for a kidney have given rise to a black market of brokers and
other forms of organ commercialism only accessible to those
with sufficient financial resources. The current Iranian model
has enabled most of the Iranian kidney transplant candidates,
irrespective of socioeconomic class, to have access to kidney
transplantation. The Iranian government has committed a large
budget through funding hospital and staff at the Ministry of
Health and Medical Education by supporting the Brain Death
Donation (BDD) Program or redirecting part of the budget of
living unrelated renal donation (LURD) to the BDD program. It
has been shown that it did not prevent the development and
progression of a BDD program. However, the LURD program
is characterized by several controversial procedures (e.g.,
confrontationof donor and recipient at theendof theevaluation
procedure along with some financial interactions) that should
be ethically reviewed. Operational weaknesses such as the lack
of a registration system and long-term follow-up of the donors
are identified as the ‘Achilles heel of the model’.
Speaker Biography
Mitra Mahdavi-Mazdeh is working as a Professor in the Division of Nephrology at
Tehran University of Medical Sciences. She was the Director of Management Center
of Transplantation and Special Diseases in Moh for two years (2005-2007). She has
been the Director of Iranian Tissue Bank Research Center since 2007. Her major
research interests lie in the epidemiologic features of RRT especially transplantation
in developing countries.
e:
mmahdavi@tums.ac.irMitra Mahdavi-Mazdeh
Tehran University of Medical Sciences, Iran
The Iranian model of living renal transplantation