Exploring the current provision of pancreatic transplantations in low- and middle-income countries: Current landscape, challenges, future prospects

Table 1 Summary of current landscape of pancreatic transplants in low- and middle-income countries

Aspect	Summary
Health policies in low- and middle-income countries	Varied approaches in organ donor policies in low- and middle-income countries. Relaxation in eligibility criteria in certain nations is associated with increased transplantation activity. Stringent eligibility criteria and organ-transplantation priority policies in countries like Turkey pose challenges. Sociocultural factors, especially religious prohibitions, hinder organ donation in low- and middle-income countries, impacting organ availability
Region-specific analysis of pancreatic transplant provision	Significant progress in Latin America, particularly Brazil and Argentina. Russia has expanded pancreas transplant provision since 2005. Established programs in Asia face challenges such as treatment unavailability and regional disparities. South Africa remains the focal point for pancreas transplants in Africa, with limited activity in other regions. Heterogeneous landscape with variations in transplant numbers and challenges across different regions
Analysis of surgical techniques and patient outcomes	Surgeons in low- and middle-income countries, including China and Russia, have advanced pancreatic transplant surgical techniques. Reduction in complications and improved efficacy seen in innovative approaches. Promising survival rates in certain nations, like China, emphasize the impact of surgical advancements and immunosuppression. Persistent postoperative complications in low- and middle-income countries, including renal function deterioration and graft challenges, necessitate focused improvement efforts