Review and analysis of the results of kidney transplantation programs in Mexico




Marco A. Ayala-García, Coordinación Clínica de Cirugía, Hospital General Regional No. 58, Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Guanajuato, León, Guanajuato, México
Gilberto Flores-Vargas, Departamento de Investigación y Desarrollo Tecnológico, Instituto de Salud Pública del Estado de Guanajuato, Guanajuato, Guanajuato, México
Gerardo A. Ornelas-Guerrero, Departamento de Sistemas y Computación, Instituto Tecnológico de la Laguna, Torreón, Coahuila. México


Objective: To know, analyze and compare kidney transplant programs; considering the survival of recipients at 1 and 5 years, from hospitals in Mexico. Method: A systematic review was carried out whose search focused on the survival of kidney transplant recipients. All publications found in PubMed and Google from 1963 to 2021 were included. The expectation-maximization algorithm was applied, proposing a mixture of normals, and hierarchical grouping to establish if there is any type of pattern and determine if there is a difference between the percentages. of survival at 1 and 5 years between the groups formed. Results: Eight hospitals that published the survival of kidney transplant recipients were found. Survival rates ranged, at 1 year, from 94.7% to 100%, and at 5 years, from 85% to 96.2%. The methods used for their comparison indicated that there is a difference between survival at 1 and 5 years. Conclusions: In Mexico there is little information on the results of kidney transplant programs, and the information found shows great heterogeneity in said programs. Some strategies and actions are proposed to improve survival underreporting.



Keywords: Kidney transplant. Survival. Mexico.