Department of Surgery, College of Medicine, Kyung Hee University, Gwangneung, South Korea.
Department of Social Studies, College of Education, Ewha Woman's University, Seoul, South Korea.
Transplantation. 2018 Feb;102(2):310-317. doi: 10.1097/TP.0000000000001935.
This study aimed to estimate the numbers of foreign patients seeking organ transplantation (OT) in Korea and to examine the relationship between the trend of deceased donors in Korea and number of Korean patients seeking OT overseas since 2000.
Data on foreigners who received a transplant in Korea were obtained from the Korean Network for Organ Sharing. Data on overseas transplants were obtained from 42 transplant centers surveyed through transplant coordinators.
A total of 336 foreigners underwent OT (kidney transplantation [KT], 174; liver transplantation [LT], 162) in Korea between 2006 and 2016. The Mongolians were the most common foreigners who undergo KTs (32%), followed by the Chinese (18%), Americans (9%), and Emiratis (7%). Among foreigners undergoing LTs, the most common country of origin was Mongolia (39%), followed by United Arab Emirates (23%), China (13%), and the United States (6%). A total of 2206 Korean patients underwent overseas OT (KT, 977; LT, 1229) between 2000 and 2016. In 97% of overseas KT cases (n = 942) and 98% (n = 1205) of overseas LT cases, the transplantations were performed in China. The relationship between the number of deceased donors in Korea and the number of overseas transplants after 2006 indicates a highly negative correlation. (ρ = -0.988, P < 0.001).
This analysis of trends in Korean patients seeking OT overseas demonstrates the importance of multilateral approaches to address organ trafficking. National effort to achieve self-sufficiency by increasing activities for organ donations is one of the fundamental solutions to transplant tourism.
本研究旨在估算在韩国寻求器官移植（OT）的外国患者人数，并检验自 2000 年以来韩国已故供体趋势与韩国患者海外寻求 OT 人数之间的关系。
从韩国器官共享网络获得在韩国接受移植的外国人的数据。通过移植协调员调查了 42 家移植中心，获得了海外移植的数据。
2006 年至 2016 年期间，共有 336 名外国人在韩国接受了 OT（肾移植 [KT]，174 例；肝移植 [LT]，162 例）。蒙古人是最常见的接受 KT 的外国人（32%），其次是中国人（18%）、美国人（9%）和阿联酋人（7%）。在接受 LT 的外国人中，最常见的原籍国是蒙古（39%），其次是阿联酋（23%）、中国（13%）和美国（6%）。2000 年至 2016 年期间，共有 2206 名韩国患者在海外接受了 OT（KT，977 例；LT，1229 例）。在 97%的海外 KT 病例（n=942）和 98%的海外 LT 病例（n=1205）中，移植在中国进行。2006 年后，韩国已故供体数量与海外移植数量之间的关系呈高度负相关（ρ=-0.988，P<0.001）。
本分析表明，解决器官贩卖问题需要采取多边方法。增加器官捐献活动以实现自给自足是解决移植旅游问题的根本解决方案之一。
