Allocation and Distribution of 8488 Consecutive Kidneys Obtained in Mexico During a 12 Years Period

Renal transplantation is the treatment of choice for end-stage renal disease, considered a major health problem in Mexico and important cause of disability and mortality. We describe allocation and distribution of 8488 kidneys obtained from deceased donors from January 2007 to December 2018. We describe a fragmented health system without universal coverage for organ donation and transplantation, a huge regional variability in organ donation and transplantation activity, a great disparity in access to the waiting list, and a faulty system for organ allocation requiring reform to achieve international standards of transparency and traceability.