LETTER TO THE EDITOR
Year : 2008 | Volume
: 19 | Issue : 1 | Page : 108--109
Organ Sharing in Saudi Arabia: A Proposal
Department of Hepatobiliary Sciences and Liver Transplantation, MC1440, King Abdulaziz Medical City, Saudi Arabian National Guard Health Affairs, P.O. Box 22490, Riyadh11426, Saudi Arabia
Department of Hepatobiliary Sciences and Liver Transplantation, MC1440, King Abdulaziz Medical City, Saudi Arabian National Guard Health Affairs, P.O. Box 22490, Riyadh11426
|How to cite this article:|
AlAbdulkareem A. Organ Sharing in Saudi Arabia: A Proposal.Saudi J Kidney Dis Transpl 2008;19:108-109
|How to cite this URL:|
AlAbdulkareem A. Organ Sharing in Saudi Arabia: A Proposal. Saudi J Kidney Dis Transpl [serial online] 2008 [cited 2020 Jul 15 ];19:108-109
Available from: http://www.sjkdt.org/text.asp?2008/19/1/108/37448
To the Editor:
I read with interest and support the recent Editorial by Dr. Ali H. Hajeer in the September 2007 issue of the Journal.  I would like, however, to comment on the way the wording of this Editorial presented the welltaken proposal of kidney allocation in Saudi Arabia. Only after reading through the article that it becomes obvious that what was being addressed is only kidney allocation although the title "Organ sharing in Saudi Arabia: A proposal" gives the initial impressions that this proposal is about all organs. Moreover in the beginning of the first paragraph there is another incorrect statement that reinforces the same misconception. This statement reads "Currently, deceased organ allocation in Saudi Arabia is done through a rotation system", and then again at the end of the same initial paragraph "So far, there are no written guidelines or a scoring system that can be used as a standard of practice in deceased organ allocation".
It is obvious that what the author intended to address is kidney transplantation only. To clarify the existing system, I would like to point out that there are written guidelines and a scoring system for allocation of all deceased organs developed and published by the Saudi Center for Organ Transplantation (SCOT) in 1994.  Presently, however, we do have other hybrid "written" guidelines when it comes to liver transplantation. These "written" guidelines take into consideration the application the well accepted Model for End stage Liver Disease (MELD) score for adults and Pediatric model for End stage Liver Disease (PELD) score for pediatrics  and the rotation system in prioritizing sick patients between our center and the only other center that performs deceased donor liver transplantation in the Kingdom at the present time.
I strongly feel that it would have been more appropriate to have the title more specific like for example: Kidney allocation in Saudi Arabia. Accordingly, in the first paragraph the word "kidney" would replace "organ". These changes will better reflect the core of this editorial which proposes a system of kidney allocation.
Finally, the statement by the author indicating that "there are no written guidelines or a scoring system that can be used as a standard of practice in deceased organ allocation" must be corrected since there have been written and published guidelines since 1994.  The question as to whether these outdated guidelines are being adhered to or not is another matter. With the increase in the number of patients waiting for transplantation of all types of organs and the increase of centers performing organ transplantation in the Kingdom, it is my opinion that the time is ripe to address this issue in a collaborative and systematic applicable way under the auspices of SCOT.
|1||Hajeer AH. Organ sharing in Saudi Arabia: A proposal. Saudi J Kidney Dis Transpl 2007; 18:346-8.|
|2||SCOT protocol: Directory of the regulations of organ transplantation in the Kingdom of Saudi Arabia. Saudi J Kidney Dis Transpl 1994;5:37-89.|
|3||Weisner RH, McDiarmid SV, Kamath PS, et al. MELD and PELD: Application of survival models to liver allocation. Liver Transpl 2001;7:567-80.|