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器官共享联合网络等待名单,1988 - 2000年。

The OPTN waiting list, 1988-2000.

作者信息

Harper A M, Edwards E B, Ellison M D

机构信息

United Network for Organ Sharing (UNOS), Richmond, Virginia, USA.

出版信息

Clin Transpl. 2001:73-85.

Abstract

More patients in the United states are waiting for organ transplants that at any time in the past and the remarkable growth of the UNOS waiting list has become a key issue for the transplant community. 1. On October 31, 2001, there were 84,277, registrations on the combined UNOS waiting list. Among these, 63% were awaiting kidney transplantation, and 22% were awaiting liver transplantation. 2. The majority of patients on the UNOS waiting list on October 31, 2000, were of blood type O (52%), white (55%) and male (58%), and awaiting their first transplant (87%). 3. The percentage transplanted within one year of listing has been declining for most organs, although that percentage has been somewhat stable for heart and lung between 1998-2000. 4. Blood type and medical urgency have a significant impact upon the percent transplanted within one year of listing for most organ types. Patients awaiting heart, pancreas, and intestinal transplants experience the highest probability of receiving a transplant within one year. 5. Deaths per patients waiting have declined since 1988 for most patients awaiting life-saving organs and have remained relatively low for those awaiting a kidney, pancreas, or kidney-pancreas transplant. Deaths were highest for lung and heart-lung patients, but appear to be declining.

摘要

美国等待器官移植的患者比以往任何时候都多,器官共享联合网络(UNOS)等待名单的显著增长已成为移植界的一个关键问题。1. 2001年10月31日,UNOS综合等待名单上有84277例登记。其中,63%等待肾移植,22%等待肝移植。2. 2000年10月31日在UNOS等待名单上的大多数患者血型为O型(52%)、为白人(55%)、为男性(58%),且等待首次移植(87%)。3. 大多数器官在列入名单后一年内接受移植的比例一直在下降,尽管1998 - 2000年间心脏和肺的这一比例有所稳定。4. 血型和医疗紧急程度对大多数器官类型在列入名单后一年内接受移植比例有重大影响。等待心脏、胰腺和肠道移植的患者在一年内接受移植的概率最高。5. 自1988年以来,大多数等待救命器官移植患者的等待期间死亡率有所下降,等待肾、胰腺或肾 - 胰腺移植患者的死亡率一直相对较低。肺和心肺移植患者的死亡率最高,但似乎在下降。

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