Comparison of Kidney Transplant Results in Kermanshah and Iran: A Systematic Review and Meta-Analysis Study

Introduction: One of the most effective treatments in the case of curing the patients with advanced renal failure is kidney transplantation. Decades have passed since kidney transplants have begun in Iran and Kermanshah. The purpose of this study was to evaluate the status of Kermanshah province in comparison with other provinces and the whole country in the field of kidney transplantation. Methods: In this systematic review and meta-analysis study, survival rate of patients after the transplantation and the transplanted kidney survival were investigated based on Iranian valid sources of information such as SID, Magiran, Irandoc, IranMedex and internationally validated databases such as PubMed, ISI and Science Direct from 2000 to 2019 surveyed. Keywords of kidney transplantation, survival rate, transplant survival rate, Kermanshah, Iran, and a combination of them were used and analyzed by Random Effects Model. Results: In 33 studies, 21113 samples were evaluated. Survival rate of 1, 3 and 5 years in patients undergoing renal transplantation in Kermanshah province during the period of 2000-2019 is lower than in other provinces. Also, in Kermanshah province, 1, 3, 5 and 10 years survival rate of all kidney transplants was lower than other provinces. Conclusion: In Kermanshah, Survival rate of patients and transplant survival in patients is lower than other regions of Iran. Therefore, it is necessary to pay attention to effective factors in increasing survival of transplant recipients and transplant kidneys as well as increasing renal transplantation studies.