在肝移植背景下讨论种族对器官捐赠授权的影响。
The impact of race on organ donation authorization discussed in the context of liver transplantation.
作者信息
Bodenheimer Henry C, Okun Jeffrey M, Tajik Waheed, Obadia Julienne, Icitovic Nikolina, Friedmann Patricia, Marquez Emmanuel, Goldstein Michael J
机构信息
Beth Israel Medical Center, First Avenue at 16th Street, New York, NY 10003, USA.
出版信息
Trans Am Clin Climatol Assoc. 2012;123:64-77; discussion 77-8.
Inadequate organ donation limits transplantation for many in need of a life-saving organ. Race of donor families and requesting coordinators may impact the authorization rate for organ donation. We evaluated authorization rates for organ donation within the New York Organ Donor Network by race during 2009 and 2010. The donation authorization rate varied considerably according to the race of the donor. The authorization rate was 57% for Hispanic, 53% for Caucasian, 48% for African-American, and 23% for Asian donor families. Fifty-five percent of donor families agreed to donation when there was racial concordance between coordinator and donor. Donation authorization was 49% when a racial mis-match existed. When adjusted for coordinator training and experience, racial discordance had a lesser impact on authorization rates. Our findings suggest the need for education and communication strategies to overcome racial-associated perception during the organ donation process.
器官捐赠不足限制了许多急需救命器官者的移植手术。捐赠者家属及负责协调的工作人员的种族可能会影响器官捐赠的授权率。我们评估了2009年至2010年期间纽约器官捐赠网络内按种族划分的器官捐赠授权率。捐赠授权率因捐赠者的种族而有很大差异。西班牙裔捐赠者家属的授权率为57%，白种人为53%，非裔美国人为48%，亚裔捐赠者家属为23%。当协调员与捐赠者种族一致时，55%的捐赠者家属同意捐赠。存在种族不匹配时，捐赠授权率为49%。在对协调员的培训和经验进行调整后，种族不一致对授权率的影响较小。我们的研究结果表明，在器官捐赠过程中需要采取教育和沟通策略来克服与种族相关的观念。
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