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Journal of Transplantation
Volume 2014, Article ID 784805, 6 pages
http://dx.doi.org/10.1155/2014/784805
Research Article

Outcomes of Renal Transplantation in Brunei Darussalam over a Twenty-Year Period (1993–2012)

1RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam
2Aga Khan University Hospital, Karachi 74800, Pakistan
3Prince Court Medical Centre, 50450 Kuala Lumpur, Malaysia

Received 11 July 2014; Revised 19 October 2014; Accepted 22 October 2014; Published 12 November 2014

Academic Editor: Kazuhiko Yamada

Copyright © 2014 Jackson Tan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. Brunei Darussalam has a high prevalence and incidence of end stage renal disease (ESRD). Up until 2012, all renal transplantations were performed in overseas centres, either as government-sponsored (living-related transplantation) or as self-sponsored (commercialized transplantation) ones. We hypothesize that graft and patient survival of Brunei renal transplant patients are on a par with international standards. Materials and Methods. Data of all renal transplant patients in Brunei were analysed over a twenty-year period from registry records and case notes. Comparative survival data from other countries were obtained from PubMed-listed literature. Results. A total of 49 transplantation procedures were performed in foreign centres between 1993 and 2012. 29 were government-sponsored and 20 were self-sponsored transplantations. The 5- and 10-year overall patient survival rates were 93.3% and 90.1%, respectively. The 5- and 10-year overall graft survival rates were 91.1% and 81.2%. There is no difference in the survival outcomes of government-sponsored and self-sponsored patients. Living-related (government-sponsored) and commercialised (self-sponsored) grafts had equivalent survival to those reported in the literature. Conclusion. Our survival data was on par with those achieved in many countries. We hope to use this information to convince local stakeholders and patients to favour transplantation as the preferred modality of RRT.