Vnitr Lek 2004, 50(Supplement 1):S107-S109

[Renal transplantation--effective or useful?].

M Kuman: Centrum kardiovaskulární a transplantacní chirurgie, Brno.

In indicated cases the renal transplantations constitute a very effective method of solving the final renal failure. Their medical and economic importance is constantly increasing. They positively influence not only the quality of life, but also a morbidity and mortality of transplanted. It has been a long time since the comparison of annual financial costs per dialysed patient (in average 750,000 CZK) and transplanted one (in average 500,000 CZK in first year after transplantation, consequently 250,000 CZK per year) is known. Annual saving of 250,000 CZK or half a million crowns per patient with a functioning implant is a sufficiently expressive argument reflecting the effectiveness of these operations. If the total amount of patients with functional renal implant in our country is 2889, the possible saving of 1,4445 billion CZK is staggering. The quality of life after a succesful renal transplantation is incomparable with the life at the regular dialysis regime. It is documented not only by medical parametres, but mostly by the spontaneous manifestations and the evaluations made by the patients themselves. The renal transplantations are an effective and also a useful, standard method of the therapy of final renal failure in the contemporary medicine.