pISSN 3022-6783
eISSN 3022-7712


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J Korean Soc Transplant 2017; 31(1): 16-24

Published online March 31, 2017


© The Korean Society for Transplantation

Kidney Transplantation from Expanded Criteria Donor in Korea: It's Time to Have Our Own Criteria Based on Our Experiences

Shin-Seok Yang, M.D.1 and Jae Berm Park, M.D.2

Division of Transplantation and Vascular Surgery, Yeungnam University Medical Center, Yeungnam University School of Medicine1, Daegu, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine2, Seoul, Korea

Correspondence to: Jae Berm Park
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea
Tel: 82-2-3410-3647, Fax: 82-2-3410-0040 E-mail: jbparkmd@gmail.com

Received: February 18, 2017; Accepted: February 22, 2017


The disparity between the number of patients awaiting kidney transplantation (KT) on the list and the number of actual number of KT from deceased organ donation has become wider despite the recent increase in the number of donations. Moreover, the proportion of donors aged 60 or more has rapidly increased. KT from expanded criteria donor (ECD) has been not only been necessary, but also inevitable with respect to maximizing the use of this scarce organ resource. However, we still use the “marginal donor criteria” implemented in 2000 when KONOS (Korean Network for Organ Sharing) was established. In the Korean transplantation environment, this “marginal donor criteria” does not have the power to predict graft outcome, and fails to discern grafts with inferior transplant outcomes from successful transplants. As a result, it does not meet the role of the criteria in Korea. Therefore, we should develop our own criteria based on our deceased donor kidney transplantation experience. Here, we review the current status of ECD KT in Korea in context with the progression of the ECD criteria system in UNOS (United Network for Organ Sharing) and present some considerations for the Korean donor criteria system.

Keywords: Kidney transplantation, Brain death, Donor, Standards, Allografts