Spital A, Spital M
Department of Nephrology, Rochester (NY) General Hospital 14621.
Arch Intern Med. 1988 May;148(5):1077-80. doi: 10.1001/archinte.148.5.1077.
Many transplant centers are opposed to the use of living unrelated kidney donors and donors at added risk. To see how the public and nontransplant physicians view these issues, we surveyed samples of these groups in Rochester, NY. We found that the majority of respondents supports the use of unrelated donors and believes that donors should be allowed to accept added risk. Our findings were confirmed by a Gallup Poll of a random sample of the US adult population. It appears that many transplant centers are out of step with public opinion, as well as that of other members of the medical profession. We hope our data will induce the centers to become more attuned to public attitudes and give donors a greater voice in determining their own suitability. If this occurs, more donors will likely become available and the number of patients with end-stage renal disease receiving transplants will increase.
许多移植中心反对使用非亲属活体肾脏捐赠者以及处于额外风险中的捐赠者。为了解公众和非移植医生如何看待这些问题,我们在纽约州罗切斯特市对这些群体的样本进行了调查。我们发现,大多数受访者支持使用非亲属捐赠者,并认为应该允许捐赠者接受额外风险。盖洛普对美国成年人口随机样本的民意调查证实了我们的研究结果。看来,许多移植中心与公众意见以及医学界其他成员的意见不一致。我们希望我们的数据将促使这些中心更加顺应公众态度,并在确定自身适用性方面给予捐赠者更大的发言权。如果这种情况发生,可能会有更多捐赠者出现,接受移植的终末期肾病患者数量将会增加。