The Organization of Kidney Transplantation Services at
Ramathibodi Hospital : Fourteen Years Experience on
Waiting List, Kidney Donors and Kidney Transplantation
VAS ANT SUMETHKUL, M.D.*,
SOPON JIRASIRITHAM, M.D.**,
PIMOL CHIEWSILP, M.D.***,
SOMNUEK DOMRONGKITCHAIPORN, M.D.*,
KANCHANA SUJIRACHATO, Ph.D.****,
TASANEE MONGKOLSUK, M.Sc.****,
SUTHUS SRIPHOJANART, M.D.**,
SIROJ KANJANAPANJAPOL, M.D.**,
SURlY A CHAKKAPHAK, M.D.**,
SURASAK LEELA-UDOMLIPI, M.D.**,
CHAROEN LEENANUPUNTH, M.D.**,
WIWAT TIRAPANICH, M.D.**,
SUCHART CHAIMUANGRAJ,M.D.**,
WACHIRA KOCHAKARN,M.D.**,
WIWAT TAPANEYA-OLARN, M.D.*****,
PIMPUN TARDTONG, M.D.****,
SOMBOON LEUNGWATTANAKU, M.D.**,
THEERAPOL ANGKOOLPAKDEEKUL, M.D.**,
KANCHANA LERTCHALORARN, B.Sc.******, PRAPAPAN TANSUPASIRI, M.Sc.******,
PHAITUN GOJASENI, M.D.**
Affiliation : Renal Transplant Committee: Departments ofMedicine*, Surgery**, Pathology****, Pediatrics****,and Nursing******.
Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
National Blood Centre***, Thai Red Cross Society, Bangkok 10330, Thailand.
AbstractThe Kidney Transplantation Program at Ramathibodi Hospital was established in 1985.
By the end of 1998, there were 1,614 patients on the cumulative waiting list. The first kidney
transplantation (KT) was started in 1986 by using kidney from living-related donor (LD) while
cadaveric KT (CD-KT) was started in 1987. A total of 528 KT were done, 278 cases (52.7%) were
CD-KT and 250 cases (47.3%) were LD-KT. Six patients had two kidney transplants. 278 kidneys
were donated from 189 cadaveric donors. Fifty cadaveric donors (26.4%) were from Ramathibodi
Hospital while the rest were from other hospitals and the Organ Donation Center, Thai Red Cross
Society. For LD, 233 out of 250 (93.2%) were from living-related, more than 50 per cent of these
donors were from siblings. 17 spousal donors have been accepted for KT at Ramathibodi Hospital
since 1997. Concerning the recipient pools, 522 patients (32.3%) were transplanted, 123 patients
(7.6%) died without KT, Ill patients (6.9%) underwent KT at other hospitals, and 78 patients
( 4.8%) changed to waiting lists at other hospitals. The rest were lost to follow-up. At present, only
265 patients are still actively waiting (send serum every month). The number of KT and living
donors has gradually increased, whereas, the number of cadaveric donors has decreased. However,
cooperation with the "Organ Donation Center" has improved the number of cadaveric donation in
the last two years. Sufficient organ donations and an active working team will provide a good
kidney transplant service for the patients.
Keywords : Kidney Transplantation Services, Organization at Ramathibodi
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