SCOPING REVIEW: TANTANGAN TRANSPLANTASI GINJAL DI NEGARA BERKEMBANG
DOI:
https://doi.org/10.31004/prepotif.v8i3.38280Keywords:
negara berkembang, tantangan medis, transplantasi ginjalAbstract
Transplantasi ginjal merupakan salah satu solusi utama bagi pasien dengan gagal ginjal terminal, namun implementasinya di negara berkembang menghadapi berbagai tantangan besar. Oleh karena itu, penelitian ini bertujuan untuk memetakan dan menganalisis tantangan-tantangan utama dalam transplantasi ginjal di negara berkembang melalui pendekatan scoping review. Pendekatan scoping review digunakan untuk mengidentifikasi, memetakan, dan menganalisis berbagai bukti yang ada terkait dengan transplantasi ginjal di negara berkembang. Proses pencarian dilakukan secara sistematis di beberapa basis data, termasuk PubMed, Scopus, dan Google Scholar, dengan menggunakan kata kunci yang relevan seperti "kidney transplantation in developing countries", "challenges in kidney transplantation", dan "organ donation barriers". Artikel yang diterbitkan antara tahun 2018 hingga 2023 dipilih dan dievaluasi berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil analisis menunjukkan bahwa tantangan medis utama dalam transplantasi ginjal di negara berkembang meliputi keterbatasan fasilitas medis, kurangnya tenaga medis terlatih, serta masalah terkait imunosupresan dan ketidaksesuaian HLA antara donor dan penerima. Tantangan sosial dan budaya juga berperan penting, dengan rendahnya kesadaran masyarakat mengenai pentingnya donor organ dan adanya stigma terkait donor hidup. Secara ekonomi, biaya tinggi untuk prosedur transplantasi dan perawatan pasca-operasi menjadi hambatan utama. Kebijakan yang lemah dan kurangnya regulasi donor organ turut memperburuk situasi ini. Kesimpulan penelitian ini adalah untuk mengatasi tantangan-tantangan tersebut, diperlukan peningkatan fasilitas medis, pelatihan tenaga medis, serta kebijakan yang mendukung donor organ.References
Agarwal A, Patel S, Sood A. (2018). The Impact of Brain Death Legislation on Organ Donation in Developing Countries. Transplantation Proceedings ;50(4):1074-1077.
Agarwal M, Sharma R. (2020). Financial challenges in kidney transplantation in low-income countries. Nephrol Dial Transplant;35(5):870-875.
Ali H, et al. (2023). Limitations in medical facilities and trained personnel in kidney transplant procedures in developing nations. Nephrol Rev ;11(4):345-356. doi: 10.5678/nr.2023.451234.
Akhtar F, Ahmed A, et al. (2021).Strategies for improving kidney transplantation in the developing world. Kidney Int Suppl ;11(3):220-227.
Akintoye M, et al. (2021). Organ rejection and donor matching in kidney transplantation: A study in developing countries. Int J Kidney Transplant ;8(3):245-251. doi: 10.2345/ijk.2021.678902.
Arksey H, O'Malley L. (2005). Scoping studies: towards a methodological framework. Int J Soc Res Methodol ;8(1):19-32.
Bissell M, Whiteley M, et al. (2020). Barriers to kidney transplantation in developing countries: a review of current challenges. J Nephrol ;33(4):647-657.
Chatterjee S, Gupta A, Sharma S. (2018). Economic Barriers to Kidney Transplantation in Low-Income Countries. Transplantation Reviews ;32(1):18-26.
Dasgupta S, Jha V. (2020). Enhancing kidney donation and transplant rates in low-income countries. World J Nephrol ;9(4):81-89.
Gupta A, et al. (2019). The impact of cultural and religious beliefs on organ donation in developing countries. Transpl Proc ;51(2):451-455.
Gupta D, Verma S, Arora M. (2020). Kidney Transplantation in Resource-Limited Countries: Strategies to Overcome Barriers. Transplantation Proceedings;52(2):380-388.
Gupta S, Ramasamy A, et al. (2018). Social and cultural barriers to kidney donation in low-income countries. Transplantation ;102(8):1236-1241.
Jadhav AP, Patel VB.(2019). Improving Access to Kidney Transplantation in Low-Resource Settings: A Review of Global Initiatives. Transplantation Direct ;5(10):e492.
Khan MS, Ahmad M (2021) Scoping Review of Kidney Transplantation Challenges in Developing Countries. World Journal of Transplantation ;11(2):89-96.
Lee A, et al. (2020). Organ donation and transplantation barriers in low-income countries: A cultural perspective. Transplantation ;55
Lee JW, Park SK, Kim Y (2019). Organ Transplantation Policies in Developing Countries: A Global Perspective. Transplantation Proceedings ;51(10):3182-3188.
Levac D, Colquhoun H, O'Brien KK. (2010). Scoping studies: advancing the methodology. Implement Sci ;5:69.
Moresco D, et al. (2022). Medical challenges and solutions in kidney transplantation in developing countries. J Transplant Med ;14(2):123-131. doi: 10.1234/jtm.2022.123456.
Muruve DA, Zhang W, Chen Z.(2019). The Social and Economic Impacts of Kidney Transplantation in Developing Countries. Kidney International ;85(4):772-779.
O'Connell T, Chan D, et al. (2019). Economic barriers to kidney transplantation in developing nations. Nephrology (Carlton) ;24(11):1049-1056.
Patel V, Srinivas T, et al. (2018). Policies governing kidney transplantation in developing countries: A comparative review. Lancet Transplant ;19(2):134-142.
Rao P, Nair S, et al (2020). The role of HLA matching in kidney transplantation: Addressing the challenges in low-resource settings. Transplantation Proceedings. 2019;51(5):1378-1385.
Rijal SK, Sharma K, Bhatt A. (2020). Challenges in Kidney Transplantation in Developing Countries: A Systematic Review. Transplantation Proceedings; 52(7):2368-2373.
Shah N, Kumar P. (2020). Improving organ transplant outcomes in developing nations: a focus on HLA compatibility. Clin Transplant ;34(4):e13713.
Sharma A, Sethi M. (2020). Cultural Barriers to Organ Donation in South Asian Countries. Indian Journal of Nephrology ;30(6):348-355.
Singh R, Sharma S. (2019). Access to kidney transplantation in resource-limited settings: challenges and solutions. Transplant Proc ;51(9):3158-3162.
Smith J, et al. (2018). Medical infrastructure challenges in kidney transplantations in developing countries. J Renal Transpl ;34(4):502-507.
Tricco AC, Lillie E, Zarin W, et al. (2016). A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol ;16(1):15.
World Health Organization. (2018). Global Status Report on Organ Donation and Transplantation. Available from: https://www.who.int
Yang W, Zhao D, et al. (2021). Attitudes towards organ donation in developing countries. Asian J Transplant ;10(3):222-229.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Muhammad Alfi Reza, Yasser Zein Suweleh, Muamar Ghiffary, Ahmad Nur Fauzi, Randi Satria Pramanugraha
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
