WHAT SHOULD WE IMPROVE IN TERMS OF THE QUALITY AND THE NUMBER OF TRANSPLANTS?

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CAMILO ULLOA TESSER

Keywords

Humans, Renal Dialysis, Quality of life, Transplant, Waiting list, Artificial Intelligence, Cost-benefit Analysis, Chile

Abstract

This article proposes optimizing the distribution of organs for transplants using artificial in- telligence, overcoming artisanal methods of the past. Despite advances in professionalization since the creation of the Transplant Corporation in the 1990s, long waiting lists persist, with waiting times of 5 to 10 years. It is highlighted that transplantation is the best option for patients with GFR < 20 mL/min, improving quality of life and being more cost-effective than dialysis. However, the lack of information and myths about transplantation generate a perception of abandonment among patients. The article identifies three key pillars to improve the process:


1. National Coordination: Improve the procurement network and records.



  1. Transplant Centers: Reduce their number and provide continuing education.

  2. Chilean Institute of Public Health (ISP): Implement artificial intelligence for organ allocation and improve statistics.


Finally, a FONDEF study is mentioned that uses artificial intelligence to identify mortality risk factors and optimize organ allocation in cross-transplants.

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