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活体肾捐赠。移植中心以外的态度。

Living kidney donation. Attitudes outside the transplant center.

作者信息

Spital A, Spital M

机构信息

Department of Nephrology, Rochester (NY) General Hospital 14621.

出版信息

Arch Intern Med. 1988 May;148(5):1077-80. doi: 10.1001/archinte.148.5.1077.

DOI:10.1001/archinte.148.5.1077
PMID:3284500
Abstract

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.

摘要

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。

相似文献

1
Living kidney donation. Attitudes outside the transplant center.活体肾捐赠。移植中心以外的态度。
Arch Intern Med. 1988 May;148(5):1077-80. doi: 10.1001/archinte.148.5.1077.
2
Unrelated living kidney donors. An update of attitudes and use among U.S. transplant centers.非亲属活体肾供者。美国移植中心的态度及使用情况更新。
Transplantation. 1994 Jun 27;57(12):1722-6.
3
Do U.S. transplant centers encourage emotionally related kidney donation?美国的移植中心会鼓励出于情感因素的肾脏捐赠吗?
Transplantation. 1996 Feb 15;61(3):374-7. doi: 10.1097/00007890-199602150-00007.
4
Obstacles to organ donation.器官捐赠的障碍。
Br J Surg. 1989 May;76(5):435-9. doi: 10.1002/bjs.1800760506.
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Kidney donation: reflections.
Am J Nephrol. 1987;7(1):49-54. doi: 10.1159/000167430.
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Exp Clin Transplant. 2009 Mar;7(1):1-7.
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The impact of living-unrelated transplant on establishing deceased-donor liver program in Syria.活体非亲属移植对叙利亚建立尸体供肝项目的影响。
Exp Clin Transplant. 2014 Oct;12(5):494-7.
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Public attitudes to organ donation among a sample of urban-dwelling South African adults: a 2012 study.2012 年一项针对南非城市成年人样本的公众对器官捐赠的态度研究。
Clin Transplant. 2013 Sep-Oct;27(5):684-92. doi: 10.1111/ctr.12200. Epub 2013 Aug 23.
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Attitude of kidney patients on the transplant waiting list toward related-living donation. A reason for the scarce development of living donation in Spain.等待肾移植患者对亲属活体捐赠的态度。西班牙活体捐赠发展不足的一个原因。
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引用本文的文献

1
Donating a Kidney to a Stranger: Are Healthcare Professionals Facilitating the Journey? Results From the BOUnD Study.向陌生人捐献肾脏:医疗保健专业人员是否在协助这一过程?BOUnD 研究的结果。
Transpl Int. 2023 May 30;36:11257. doi: 10.3389/ti.2023.11257. eCollection 2023.
2
Live donor kidney transplantation: attitudes of patients and health care professionals concerning the pre-surgical pathway and post-surgical follow-up.活体供肾移植:患者和医疗保健专业人员对术前途径和术后随访的态度。
Int Urol Nephrol. 2012 Feb;44(1):157-65. doi: 10.1007/s11255-011-9987-9. Epub 2011 May 26.
3
Postmortem procedures in the emergency department: using the recently dead to practise and teach.
急诊科的尸体解剖程序:利用新近死亡者进行实践与教学。
J Med Ethics. 1993 Jun;19(2):92-8. doi: 10.1136/jme.19.2.92.