Incidence and prevalence of kidney diseases all over the world, including India is on the rise and though advances have been made in haemodialysis and kidney transplantation procedures, and also an implantable bionic kidney facing clinical tests, the need of the hour is promotion of cadaver organ transplantation and streamlining the method of allocating cadaver organs, said a noted nephrologists T. Ravi Raju. Speaking to The Hindu on the occasion of the World Kidney Day on Thursday, he quoted statistics which said that around 2.8 crore people are suffering from some form of kidney disease in India and 1.5 lakh new patients are in the end stage of kidney failure and need haemodialysis or kidney transplantation. But only 10 per cent of them are able to get treated while the rest are destined to die due to lack of proper treatment. Though the scenario has changed a little bit in AP during the last two years due to introduction of dialysis facilities in Government hospitals, the situation might turn worse if kidney transplantation and haemodialysis are not widely available, the former Director of Medical Education has warned.
“Several new drugs, diagnostic methods, improved dialysis techniques and equipment, and bionic kidneys in the offing, makes life easy for the patient but cadaver transplantation is important”, said Dr. Ravi Raju. More availability of cadaver organs and streamlining the procedure to allot them will also eliminate illegal trafficking of organs. State Government has enacted laws one year ago by making provision for a centralised agency to register patients, allocate organs and promote awareness about cadaver organ donation, he said. The new immunosuppressive drugs have almost eliminated acute rejection after transplantation and tremendously improved the longevity and reduced the side effects, he said about the new drugs. The new non-invasive diagnostic tests made post-transplantation monitoring condition easy and effective and in the near future invasive tests like kidney biopsy may not be needed, he said.
The laparoscopic donor nephrectomy (removal of kidney) has lessened morbidity among donors while improvement in the dialysis techniques and machines resulted in safe and effective haemodialysis and improved longevity. The implantable bionic kidneys with biological membranes are undergoing clinical tests and once brought into wide use, they might eliminate the need of large haemodialysis machines, said Dr. Ravi Raju.
2.8 crore people suffer from some form of kidney disease in India Only 10 per cent of them are able to get treatment
2.8 crore people suffer from some form of kidney disease in India
Only 10 per cent of them are able to get treatment