Abstract
Context and objectivesIn recent years, despite the increased number of kidney transplants performed in Spain, we observed a gradual increase in waiting lists. The need to increase the number of transplants performed in our centers forces us to accept as donors the patients previously rejected. Acquiring of evidenceWe performed a systematic review using PubMed of published articles in the last 10 years, that include the words trasplante renal en bloque, “en bloc kidney transplantation” or its initials EBKT. Synthesis of evidenceThe pediatric donor to adult recipient has been included in the expanded criteria donors group, such donors being rejected nevertheless in most centers. However, in recent published series comparing the en bloc kidney transplantation from pediatric donor to adult recipients with other transplanted groups, the authors observe similar results between this kind of transplantation and the “optimal” donor group or living kidney donor group, regarding renal function and graft survival, and better results than the transplanted kidneys with expanded criteria donors group. ConclusionsThe results published in the current series lead us to consider this kind of transplant as an option to increase the number of transplants performed.
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