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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
The treatment of choice for end-stage kidney disease (ESKD) is kidney transplantation, which offers better quality of life and survival than dialysis. Almost all kidney transplants in Nepal rely on living donors due to unavailiabilty of cadaveric donors. Although Legislative changes including amendment in Human Body Transplantation Act, Nepal in 2016 expanded the potential donor pool to 51 close relatives and has also included paired exchange yet the dependency on living donation calls for a rigorous examination of changing donor-recipient dynamics. This study sought to identify changing trends in living kidney donation in Nepal by assessing changes in donor-recipient relationships and demographic factors over a 12-year period.
A retrospective observational study was conducted at Shahid Dharmabhakta National Transplant Center, Bhaktapur, Nepal, to determine the demographic characteristics and donor-recipient relationships in living kidney transplants performed from 2013 AD to 2025 AD. Donor-recipient relationships were classified as first-degree relatives (parents, siblings, children), second-degree relatives (uncles, aunts, cousins), spouses, or unrelated donors. IBM SPSS Statistics version 23.0 was used to analyse the data. Chi-square and linear-by-linear association tests were used to compare categorical variables over four time periods (2013–2015, 2016–2018, 2019–2021, 2022–2024). Statistical significance was defined as a p-value <0.05.
Among 1332 study population, the mean age of the recipients was 36.2 ± 10.9 years, with majority ,79.4% being male. On the other hand the majority of donors (72.3%) were female, and the average age of donors was 44.9 ± 11.8 years. Of the donors, 52.3% were first-degree relatives to their recipients, followed by wives to husband (31.8%), husbands to wives (5.3%), and from second-degree relatives (4.7%). Over a 12-year period, the percentage of first-degree donors fell from 65% (2013–2015) to 47.6% (2022–2024), but the percentage of second-degree donors rose from 2.4% to 6% and the percentage of biologically unrelated donors rose from 3.3% to 7.6% (p=0.029).
The donor relationships and demographics in Nepal's living kidney transplantation program have changed significantly over the past 12 years. The majority of donors are still first-degree relatives, although older persons, spouses, and those who are not biologically related are also becoming more and more involved. These changes might be a result of changing family relations, progressive laws, and heightened public awareness. Maintaining safe and equitable kidney transplantation procedures in Nepal requires ongoing focus on donor safety, ethical supervision, and the concurrent development of brain dead donor programs.
