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肾移植等待名单:将患者分配至有限的器官供应资源。

The kidney transplant wait-list: allocation of patients to a limited supply of organs.

作者信息

Norman Douglas J

机构信息

Department of Medicine, Division of Transplant Medicine, Oregon Health & Science University, Transplantation/Immunogenetics, Portland, Oregon 97201, USA.

出版信息

Semin Dial. 2005 Nov-Dec;18(6):456-9. doi: 10.1111/j.1525-139X.2005.00088.x.

DOI:10.1111/j.1525-139X.2005.00088.x
PMID:16398705
Abstract

The improvement of survival rates and the increasing demand for renal transplantation has resulted in tremendous growth of the deceased donor kidney waiting list. Unfortunately, over the same period, the number of deceased donor kidneys available for transplantation has only increased modestly. In this review, the rules by which deceased donor kidneys are allocated and distributed are reviewed. In addition, we discuss the ethical issues involved in the formulation of these policies and the implications for individual patients.

摘要

生存率的提高以及肾移植需求的不断增加,导致了 deceased donor kidney 等待名单的大幅增长。不幸的是,在同一时期,可用于移植的 deceased donor kidney 的数量仅略有增加。在本综述中,我们回顾了 deceased donor kidney 的分配规则。此外,我们还讨论了这些政策制定过程中涉及的伦理问题以及对个体患者的影响。

相似文献

1
The kidney transplant wait-list: allocation of patients to a limited supply of organs.肾移植等待名单:将患者分配至有限的器官供应资源。
Semin Dial. 2005 Nov-Dec;18(6):456-9. doi: 10.1111/j.1525-139X.2005.00088.x.
2
The OPTN/UNOS Renal Transplant Registry.器官获取与移植网络/美国器官共享联合网络肾脏移植登记处
Clin Transpl. 2005:1-16.
3
Increasing the supply of kidneys for transplantation.增加用于移植的肾脏供应。
Semin Dial. 2005 Nov-Dec;18(6):460-2. doi: 10.1111/j.1525-139X.2005.00089.x.
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Challenges in the counseling and management of older kidney transplant candidates.老年肾移植候选者的咨询与管理中的挑战。
Am J Kidney Dis. 2006 Apr;47(4 Suppl 2):S86-97. doi: 10.1053/j.ajkd.2005.12.042.
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The heart-allocation simulation model: a tool for comparison of transplantation allocation policies.心脏分配模拟模型:一种用于比较移植分配政策的工具。
Transplantation. 2003 Nov 27;76(10):1492-7. doi: 10.1097/01.TP.0000092005.95047.E9.
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Ethical aspects of organ donation activities.器官捐赠活动的伦理问题。
Exp Clin Transplant. 2007 Dec;5(2):633-7.
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Allocation of deceased donor kidneys in São Paulo, Brazil: effect of human leukocyte antigen compatibility on graft survival.巴西圣保罗已故供体肾脏的分配:人类白细胞抗原相容性对移植物存活的影响。
Transplant Proc. 2009 Jan-Feb;41(1):93-4. doi: 10.1016/j.transproceed.2008.10.051.
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The development of new allocation policy for deceased donor kidneys.deceased捐赠肾脏新分配政策的制定 。 需要注意的是,这里“deceased donor”准确来说是“已故捐赠者” ,整句话准确的译文是:已故捐赠者肾脏新分配政策的制定 。
Curr Opin Nephrol Hypertens. 2007 Nov;16(6):512-5. doi: 10.1097/MNH.0b013e3282f08638.
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An "opting in" paradigm for kidney transplantation.一种肾脏移植的“选择加入”模式。
Am J Bioeth. 2004 Fall;4(4):4-14. doi: 10.1080/15265160490518557.
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Iranian model of paid and regulated living-unrelated kidney donation.伊朗有偿且受监管的非亲属活体肾捐赠模式。
Clin J Am Soc Nephrol. 2006 Nov;1(6):1136-45. doi: 10.2215/CJN.00700206. Epub 2006 Oct 11.

引用本文的文献

1
Attitudes, knowledge, and preferences of the Israeli public regarding the allocation of donor organs for transplantation.以色列公众对捐赠器官用于移植的态度、知识和偏好。
Isr J Health Policy Res. 2020 May 4;9(1):25. doi: 10.1186/s13584-020-00376-3.
2
Should peripheral vascular disease- or diabetes-related amputation contraindicate renal transplant?外周血管疾病或糖尿病相关截肢是否会成为肾移植的禁忌证?
Hawaii J Med Public Health. 2012 Jul;71(7):181-5.
3
Compensated living kidney donation: a plea for pragmatism.有偿活体肾捐献:呼吁务实。
Health Care Anal. 2010 Mar;18(1):85-101. doi: 10.1007/s10728-008-0110-z. Epub 2009 Jan 29.