EPIDEMIOLOGICAL AND COMPARATIVE ANALYSIS BETWEEN KIDNEY TRANSPLANTATION FROM LIVING AND DECEASED DONORS IN THE LAST 5 YEARS IN RIO DE JANEIRO

Abstract

One of the main alternatives for the treatment of end-stage chronic kidney patients is kidney transplantation, which can be performed with both living and deceased donors. The aim of the present study was to carry out an epidemiological and comparative research on these two types of procedures, analyzing which one has better outcomes. An observational, cross-sectional and retrospective study was carried out through a survey of data from the SUS Department of Information and Informatics (DATASUS) in Rio de Janeiro in the last 5 years. Data collected on kidney transplants by living and deceased donors were the number of procedures, number of deaths, mortality rate, mean hospital stay and mean value of each procedure. It was possible to observe a higher prevalence of transplants by deceased donors with 1,452 compared to living donors with only 117. The mortality rate was 3.17% for dead donors and 0.85% for living donors. The length of hospital stay was 16 days for dead donors and 10.2 for living ones. Finally, the average cost of the procedure was R$27,742.49 with living donors and R$38,973.72 with dead donors. The advantages of kidney transplantation by living donors are evident, and it must be increasingly studied and implemented, improving the transplant recipient's quality of life and the costs for the single health system.