Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Center Hospital, Mexico.
Am J Nephrol. 2012;35(3):259-64. doi: 10.1159/000336371. Epub 2012 Feb 20.
World Kidney Day on March 8th 2012 provides a chance to reflect on the success of kidney transplantation as a therapy for end stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost effectiveness. Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end stage kidney disease include the economic limitations which, in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation and vaccination. Even in high income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental and political environments. World Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit.
2012 年 3 月 8 日的世界肾脏日提供了一个机会，让我们反思肾移植作为一种治疗终末期肾病的疗法所取得的成功，这种疗法在提供的生活质量和数量方面都超过了透析治疗，而且在成本效益方面也更胜一筹。任何一种既便宜又好的东西，但实际上并不是主要的治疗方法，肯定有其他的缺点，阻止了所有透析治疗都被移植所取代。将肾移植作为治疗终末期肾病的主要方法所面临的障碍包括经济限制，在一些国家，将肾移植适当地置于比清洁水、卫生和疫苗等公共卫生基本设施更低的优先级。即使在高收入国家，手术的技术挑战和免疫抑制的后果也限制了合适受者的数量，但限制肾移植率的主要限制因素是捐献器官的短缺以及缺乏具有所需专业知识的医疗、手术和护理劳动力。这些问题都有解决方案，涉及到社会、专业、政府和政治环境的各个方面。世界肾脏日呼吁为每年有权利受益的 100 万人提供移植治疗。
