Bittencourt Paulo Lisboa, Farias Alberto Queiroz, Couto Claudia Alves
Unit of Gastroenterology and Hepatology, Portuguese Hospital of Salvador, Bahia, Brazil.
Department of Gastroenterology, University of São Paulo, São Paulo, Brazil.
Liver Transpl. 2016 Sep;22(9):1254-8. doi: 10.1002/lt.24487. Epub 2016 Jul 25.
Over 1700 liver transplantations (LTs) are performed annually in Brazil. In absolute terms, the country performs more LT surgeries than anywhere else in Latin America and is third worldwide. However, due to its increasing population and inadequate donor organ supply, the country averages 5-10 LTs per million population, far lower than required. There is a marked heterogeneity in organ donation and LT activity throughout the country. Access to LT in the underprivileged North, Midwest, and Northeast regions of Brazil is scarce. Major challenges for the future of LT in Brazil will be to increase organ donation and access to LT. The reduction of those geographical disparities in donation, organ procurement, and LT due to political and financial constraints is of utmost importance. Liver Transplantation 22 1254-1258 2016 AASLD.
巴西每年进行超过1700例肝移植手术。就绝对数量而言，该国进行的肝移植手术比拉丁美洲其他任何地方都多，在全球排名第三。然而，由于人口不断增长以及供体器官供应不足，该国每百万人口平均进行5至10例肝移植手术，远低于所需水平。全国器官捐赠和肝移植活动存在明显的异质性。巴西贫困的北部、中西部和东北部地区获得肝移植的机会稀缺。巴西肝移植未来面临的主要挑战将是增加器官捐赠和肝移植的可及性。由于政治和财政限制，减少捐赠、器官获取和肝移植方面的地区差异至关重要。《肝脏移植》2016年美国肝病研究学会，第22卷，第1254 - 1258页
