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更有效地利用从老年已故捐赠者获取的肾脏,能否为老年患者带来更多的肾移植机会?

Could more effective use of kidneys recovered from older deceased donors result in more kidney transplants for older patients?

作者信息

Cecka J Michael, Cohen Bernard, Rosendale John, Smith Mike

机构信息

UCLA Immunogenetics Center, Department of Pathology, University of California at Los Angeles, USA.

出版信息

Transplantation. 2006 Apr 15;81(7):966-70. doi: 10.1097/01.tp.0000216284.81604.d4.

DOI:10.1097/01.tp.0000216284.81604.d4
PMID:16612265
Abstract

In the face of a severe shortage of kidneys from deceased organ donors that limits access to transplantation for many patients, about one of every seven kidneys (more than 1,500 each year) recovered from deceased donors in the United States are not transplanted. Eurotransplant, which coordinates organ distribution for six countries and a population of about 118 million, discards only one of every 20 kidneys procured for transplantation. We compared kidney procurement, transplants, and discards between January 2000 and June 2003 in the United States and in the Eurotransplant region using the Organ Procurement and Transplantation Network/United Network for Organ Sharing and Eurotransplant databases to examine differences that might account for this wide disparity.

摘要

面对来自已故器官捐赠者的肾脏严重短缺,这限制了许多患者获得移植的机会,在美国,从已故捐赠者身上获取的肾脏中,约每七个就有一个(每年超过1500个)未被移植。欧洲移植组织为六个国家和约1.18亿人口协调器官分配,每20个获取用于移植的肾脏中仅丢弃一个。我们利用器官获取与移植网络/器官共享联合网络以及欧洲移植组织的数据库,比较了2000年1月至2003年6月期间美国和欧洲移植组织地区的肾脏获取、移植及丢弃情况,以研究可能导致这种巨大差异的不同之处。

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