Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN.
Department of Surgery, University of Minnesota, Minneapolis, MN.
Am J Transplant. 2018 Jan;18 Suppl 1:114-171. doi: 10.1111/ajt.14558.
The number of pancreas transplants performed in the United States increased by 7.0% in 2016 over the previous year, the first such increase in more than a decade, largely attributable to an increase in simultaneous kidney pancreas transplants. Transplant rates increased in 2016, and mortality on the waiting list decreased. The declining enthusiasm for pancreas after kidney (PAK) transplants persisted. The uniform definition of graft failure was approved by the OPTN Board of Directors in 2015 and will be implemented in early 2018. Meanwhile, SRTR continues to refrain from reporting pancreas graft failure data. The OPTN/UNOS Pancreas Transplantation Committee is seeking to broaden allocation of pancreata across compatible ABO blood types in a proposal out for public comment July 31 to October 2, 2017. A new initiative to provide guidance on the benefits of PAK transplants is also out for public comment.
2016 年,美国进行的胰腺移植数量比前一年增长了 7.0%,这是十多年来的首次增长,主要归因于同时进行的肾胰腺移植数量增加。2016 年移植率有所上升,等候名单上的死亡率有所下降。对肾后胰腺(PAK)移植的热情持续下降。2015 年,OPTN 董事会批准了统一的移植物衰竭定义,并将于 2018 年初实施。同时,SRTR 仍拒绝报告胰腺移植物衰竭数据。OPTN/UNOS 胰腺移植委员会正在寻求扩大在 AB0 血型相容的情况下分配胰腺的范围,该提案已于 2017 年 7 月 31 日至 10 月 2 日公开征求意见。一项新的倡议也在征求公众意见,旨在就 PAK 移植的益处提供指导。