{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:04:01Z","timestamp":1759514641542},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"756","license":[{"start":{"date-parts":[[1988,10,1]],"date-time":"1988-10-01T00:00:00Z","timestamp":591667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>A strategy of live related donor kidney transplantation coupled to the briefest possible preparatory period of haemodialysis was adopted as the most cost effective treatment for a selected group of 9 Tanzanian patients who received a total of 10 grafts. Patient and donor selection and preparation were carried out at Muhimbuli Medical Centre, Dar es Salaam, and the transplant procedure and first few months of follow-up were done at St. Thomas\u2019 Hospital, London. There was a high incidence of complications which drew attention to particular risk factors in the group treated. The high cost of treating these individuals emphasizes the need for research into chronic communicable and non-communicable diseases in Africa and highlights the dilemma of appropriate use of resources in serving the world\u2019s medical needs.<\/jats:p>","DOI":"10.1136\/pgmj.64.756.778","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"778-782","source":"Crossref","is-referenced-by-count":5,"title":["Ten Tanzanian transplants: problems and perspectives"],"prefix":"10.1093","volume":"64","author":[{"given":"S L","family":"Basinda","sequence":"first","affiliation":[{"name":"Muhimbuli Medical Centre, Dar es Salaam, Tanzania , London SE1 , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E E","family":"Maro","sequence":"additional","affiliation":[{"name":"Muhimbuli Medical Centre, Dar es Salaam, Tanzania , London SE1 , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D G","family":"McLarty","sequence":"additional","affiliation":[{"name":"Muhimbuli Medical Centre, Dar es Salaam, Tanzania , London SE1 , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A E","family":"Young","sequence":"additional","affiliation":[{"name":"St. Thomas\u2019 Hospital , London SE1 , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A J","family":"Wing","sequence":"additional","affiliation":[{"name":"St. Thomas\u2019 Hospital , London SE1 , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,10,1]]},"reference":[{"key":"ref_1","first-page":"181","article-title":"Epidemiology of genitourinary disease","author":"Challah, I.; S.; Wing, A.J.","year":"1985","unstructured":"I. Challah, S. & Wing, A.J. Epidemiology of genitourinary disease. In: Holland, W.W. & Dietels, R. (eds) Oxford Textbook of Public Health. Oxford University Press, Oxford, 1985, pp 181-202."},{"key":"ref_2","first-page":"14","article-title":"The incidence of treated end stage renal disease in the","volume":"74","author":"Sugimoto, T.; Rosansky, S.J.","year":"1973","unstructured":"Sugimoto, T. & Rosansky, S.J. The incidence of treated end stage renal disease in the United States: 1973-79. Am J Public Health 1984, 74: 14-17.","journal-title":"Am J Public Health"},{"key":"ref_3","article-title":"Comparative review between dialysis and transplantation","author":"Wing, A.J.; Brunner, F.P.; Brynger, H.Q.; Jacobs, C.; Kramer, P.","unstructured":"Wing, A.J., Brunner, F.P., Brynger, H.Q., Jacobs, C. & Kramer, P. Comparative review between dialysis and transplantation. In: Drukker, W., Parsons, F.M. & Maher, J.F. (eds) Replacement of Renal Function by"},{"key":"ref_4","first-page":"pp.","author":"Nijhoff, Dialysis Martinus; Hague, The","year":"1983","unstructured":"Dialysis. Martinus Nijhoff, The Hague, 1983, pp."},{"key":"ref_5","first-page":"217","volume":"8","author":"British National Formulary, B.M.A.; London","year":"1984","unstructured":"British National Formulary, B.M.A., London, 1984; Number 8: pp 217-218."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1016\/S0140-6736(87)90233-9","article-title":"Cyclosporin conversion versus conventional immunosuppression: long term follow-up and histological evaluation","volume":"i:","author":"Morris, P.J.; Allen, R.D.; Thompson, J.F.","year":"1987","unstructured":"Morris, P.J., Allen, R.D., Thompson, J.F. et al. Cyclosporin conversion versus conventional immunosuppression: long term follow-up and histological evaluation. Lancet 1987, i: 586-591.","journal-title":"Lancet"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/64\/756\/778\/50078801\/postgradmedj-64-778.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/64\/756\/778\/50078801\/postgradmedj-64-778.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T04:37:41Z","timestamp":1683261461000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/64\/756\/778\/7047634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,10,1]]},"references-count":6,"journal-issue":{"issue":"756","published-online":{"date-parts":[[1988,10,1]]},"published-print":{"date-parts":[[1988,10,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.64.756.778","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1988,10]]},"published":{"date-parts":[[1988,10,1]]}}}