The Centre has come out with draft guidelines that aim to determine criteria for receiving a kidney from a cadaver donor, in order to bring in greater transparency and tackle illegal kidney trade while prioritising patients in urgent need of renal transplant.
As per the proposed norms, patients requiring a kidney transplant will be registered centrally by hospitals through an online process. The registration will be approved by a kidney advisory committee after evaluating the need for transplant. Once approved, patients will be put on the “active“ or “priority“ list, based on specific guidelines.
At present, kidney donation is a legal maze, with the big demand-supply gap driving a black market. Estimates by Organ Retrieval Banking Organisation (ORBO), which functions under AIIMS, say 1-1.5 lakh patients require kidney transplants in India, whereas only 3,5004,000 receive it. However, experts say these estimates are much lower than the real demand because a lot of cases are either not diagnosed or not registered on time.
The National Organ and Tissue Transplant Organisation (NOTTO), under the aegis of the health ministry , will maintain the registry of patients in need of transplants.
The draft guidelines, made public by the health ministry on Friday seeking public comments within a fortnight, also stated that patients on a given city’s waiting list will get the first priority. “If no recipient (is) eligible in city waiting list, then allocation will be done to state and then to other states in the ROTTO (Regional Organ and Tissue Transplant Organisation), and then to other ROTTO nationally ,“ the draft said.
Though some states like Tamil Nadu have already constituted such committees, kidney donation from cadavers is largely unregulated across the country . So far, there were no central guidelines to monitor such donations.
“This initiative reflects our commitment to promote organ donation in the country . We will finalise these gui delines after we receive various suggestions and comments on these draft guidelines. Once finalised, these guidelines will go a long way in promoting organ donation in the country ,“ health minister J P Nadda said. He added that an agreement with state governments and healthcare institutions will be signed in due course to ensure implementation of the guidelines.
The draft guidelines also suggest that recipients be aged below 65 years. It also recommends that patients go for maintenance dialysis wherever possible and be on it for more than three months on a regular basis before being considered for transplant.
It has been suggested that patients who no longer have dialysis access be urgently listed. Besides, patients with end stage renal disease who are unlikely to get a donor with a negative cross-match will also be given priority .
Source: Times of India 02 Jan’2016