Outcomes of overseas kidney transplantation in chronic haemodialysis patients in Taiwan

Chih Cheng Hsu, Cheng Hua Lee, Shang Jyh Hwang, Shi Wei Huang, Wu Chang Yang, Yu Kang Chang, Daniel Fu Chang Tsai, Ken N. Kuo

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Aim: Overseas kidney transplantation has often been reported to have unsatisfactory outcomes. This study aims to compare post-transplantation outcomes between overseas and domestic kidney transplant (KT) recipients in Taiwan. Methods: The Taiwanese National Health Insurance Research Database was used to identify 310 domestic and 643 overseas KT recipients, who survived for longer than 1 month after the transplantation, in a cohort of 45 453 chronic haemodialysis patients in 1997-2002. Cox proportional hazards models were used to assess risks of mortality and graft failure. Results: The 1, 3 and 5 year survival rates for domestic KT recipients were 96.5%, 93.3% and 91.6%, respectively, while those for overseas KT recipients were 94.9%, 87.9% and 77.1%, respectively (P = 0.015). For the overseas group, those who received a KT before 2001 had significantly higher hazard ratios of mortality and graft failure (2.85 and 1.71, respectively). However, for those receiving a KT in 2001-2002, no significant outcome difference could be found between overseas and domestic recipients. Conclusion: The risk disparity between overseas and domestic KT recipients is mainly attributable to when the transplantation was performed. In attempting to dissuade potential recipients from organ trafficking, merely emphasizing the previously acknowledged poor outcomes no longer suffices as a valid reason.

Original languageEnglish
Pages (from-to)341-348
Number of pages8
Issue number3
Publication statusPublished - Mar 2011
Externally publishedYes


  • kidney transplantation
  • organ trafficking
  • post-transplantation outcome

ASJC Scopus subject areas

  • Nephrology


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