Transplant International · 8 authors, 6 centres
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This retrospective observational study analyzed all 2,040 kidney transplantations performed in Nepal up to December 2022 to assess disparities in access. It found significant inequities in access based on gender, geographic location, and caste, with resources heavily concentrated in the Bagmati province and urban centers.
The study reviewed records for all kidney transplant recipients across five major hospitals in Nepal from August 2008 to December 2022. Data were analyzed to assess the distribution of recipients by gender, geography, and caste/ethnicity. The central results show that 79% of recipients were men, while women constituted 70% of living donors. Geographically, 32.52% of recipients were from Bagmati province despite it having only 20.97% of the population, with much lower proportions from other provinces like Madhesh and Sudurpaschim. The analysis reveals a concentration of healthcare infrastructure, including nephrologists and transplant surgeons, in the Kathmandu Valley. Limitations include the study's retrospective design and reliance on records from five specific hospitals. The implications suggest a need for restructuring healthcare to improve regional autonomy and access.
