What question did this study set out to answer?

This research aims to understand the rising costs and decreasing access to kidney transplantation in Nigeria.

April 19, 2026

Escalating Costs and Declining Access: Kidney Transplantation in a Resource-Constrained Nigerian Healthcare System – Chasing a Moving Target

COChimezie OkwuonuFederal Medical Centre IOIjeoma OnyebuchiFederal Medical Centre CRChinwe Theresa Ralph-IhekeFederal Medical Centre

Key Points

This research aims to understand the rising costs and decreasing access to kidney transplantation in Nigeria.
Analyzed annual transplant volumes and associated patient costs
Evaluated the impact of medication expenses and HLA-tissue typing on total costs
Conducted a qualitative assessment of resource constraints
Patient-borne costs for kidney transplantation progressively increased over time
Annual transplant volumes decreased alongside rising costs
Cost of induction medications and HLA-tissue typing significantly contributed to overall expenses

Abstract

There was a progressive increase in the patient-borne cost associated with kidney transplantation, with a reduction in transplant volumes per year. Cost of medications (especially induction regimen) and HLA-tissue typing appear to weigh more on the total cost than other items.

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