Sarkar Monika, Watt Kymberly D, Terrault Norah, Berenguer Marina
Division of Gastroenterology and Hepatology, University of California, San Francisco, 513 Parnassus Avenue, S-357, San Francisco, CA 94143, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic and Foundation, 200 First St, Rochester, MN 55905, USA.
J Hepatol. 2015 Apr;62(4):946-55. doi: 10.1016/j.jhep.2014.11.023. Epub 2014 Nov 27.
A growing literature has highlighted important differences in transplant-related outcomes between men and women. In the United States there are fewer women than men on the liver transplant waitlist and women are two times less likely to receive a deceased or living-related liver transplant. Sex-based differences exist not only in waitlist but also in post-transplant outcomes, particularly in some specific liver diseases, such as hepatitis C. In the era of individualized medicine, recognition of these differences in the approach to pre and post-liver transplant care may impact short and long-term outcomes.
越来越多的文献强调了男性和女性在移植相关结果方面的重要差异。在美国，肝脏移植等待名单上的女性比男性少，女性接受 deceased 或亲属活体肝脏移植的可能性要低两倍。基于性别的差异不仅存在于等待名单上，也存在于移植后的结果中，特别是在一些特定的肝脏疾病中，如丙型肝炎。在个性化医疗时代，认识到肝脏移植前后护理方法上的这些差异可能会影响短期和长期结果。
