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加拿大角膜移植的需求与可及性:省级比较

Canadian demand and access to corneal transplantation: a provincial comparison.

作者信息

Humphreys Christine, Maru Kyle, Yeung Sonia N, Rocha Guillermo, Chan Clara C

机构信息

Eye Bank of Canada - Ontario Division, Toronto, ON, Canada.

Canadian Blood Services, 1800 Alta Vista Drive, Ottawa, ON, K1G 4J5, Canada.

出版信息

Cell Tissue Bank. 2022 Dec;23(4):685-693. doi: 10.1007/s10561-021-09968-y. Epub 2021 Nov 12.

DOI:10.1007/s10561-021-09968-y
PMID:34773206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8589224/
Abstract

To gather information from stakeholders involved in corneal donation and transplantation to inform discussion at the "National Consensus Forum on Improving Cornea Donation and Transplantation Access in Canada" held in February 2020, survey questions were posed to eye banks, transplanting ophthalmologists and organ donation organizations across Canada to learn more about demand, wait times, and access to tissue for transplant. The survey response rate was one hundred percent (100%) for eye banks and organ donation organizations while 64 percent (64%) of transplant ophthalmologists provided feedback. A number of opportunities for improvement were identified including: demand forecasting; infrastructure and strategies to align supply with demand; data collection and benchmarking of wait times for assessment and transplant to support consistency, equitability and transparency in access; and national collaboration in the development of a data strategy to accurately measure demand and access to cornea transplants in a consistent manner across all provinces to facilitate equity in access nationally.

摘要

为了从参与角膜捐赠和移植的利益相关者那里收集信息,以便为2020年2月举行的“加拿大改善角膜捐赠和移植可及性全国共识论坛”的讨论提供参考,向加拿大各地的眼库、进行移植手术的眼科医生和器官捐赠组织提出了调查问题,以了解更多关于需求、等待时间以及移植组织获取情况的信息。眼库和器官捐赠组织的调查回复率为100%,而64%的移植眼科医生提供了反馈。确定了一些改进机会,包括:需求预测;使供应与需求相匹配的基础设施和策略;数据收集以及评估和移植等待时间的基准设定,以支持获取过程中的一致性、公平性和透明度;以及在制定数据战略方面开展全国合作,以一致的方式准确衡量所有省份角膜移植的需求和可及性,促进全国范围内获取的公平性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/191b/9675675/16a67cd329d7/10561_2021_9968_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/191b/9675675/16a67cd329d7/10561_2021_9968_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/191b/9675675/16a67cd329d7/10561_2021_9968_Fig1_HTML.jpg

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本文引用的文献

1
A National Consensus Forum on improving cornea donation and transplantation access in Canada.加拿大改善角膜捐赠与移植可及性全国共识论坛
BMC Proc. 2021 May 11;15(Suppl 5):10. doi: 10.1186/s12919-021-00215-6.
2
Corneal transplantation in the aftermath of the COVID-19 pandemic: an international perspective.新冠疫情之后的角膜移植:国际视角
Br J Ophthalmol. 2020 Nov;104(11):1477-1481. doi: 10.1136/bjophthalmol-2020-317013. Epub 2020 Jul 30.
3
Global Survey of Corneal Transplantation and Eye Banking.全球角膜移植与眼库调查
JAMA Ophthalmol. 2016 Feb;134(2):167-73. doi: 10.1001/jamaophthalmol.2015.4776.
4
Corneal transplant wait list varies across Canada.加拿大各地的角膜移植等待名单各不相同。
CMAJ. 2013 Aug 6;185(11):E511-2. doi: 10.1503/cmaj.109-4517. Epub 2013 Jun 10.