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

Table 2 Summary of challenges impeding the provision of pancreatic transplant services in low- and middle-income countries

Challenges	Key points
Economic barriers to service expansion	Limited access in low- and middle-income countries due to facility shortages, lack of specialized personnel, and infrastructural deficiencies. Financial burden on patients in countries like India. Brain drain of healthcare workers from low- and middle-income countries
Challenges to organ procurement	Sociocultural factors, religious prohibitions, legislative barriers, and donor risk factors hinder organ procurement in low- and middle-income countries. Commercialization of organ procurement is discouraged, impacting availability. Varied waiting times and limited donor lists due to endemic factors
Post-operative care	Challenges in immunosuppression management, limited healthcare infrastructure, economic constraints, and complications like graft thrombosis, bleeding, and infections. Resource constraints in low- and middle-income countries affect post-transplant care and monitoring. Urgent need for enhanced healthcare infrastructure