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器官获取与移植网络/器官共享联合网络2020年年度数据报告:国防部

OPTN/SRTR 2020 Annual Data Report: DOD.

作者信息

Israni A K, Zaun D, Gauntt K, Schaffhausen C, McKinney W, Snyder J J

机构信息

Scientific Registry of Transplant Recipients, Hennepin Health care Research Institute, Minneapolis, MN.

Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN.

出版信息

Am J Transplant. 2022 Mar;22 Suppl 2:519-552. doi: 10.1111/ajt.16976.

Abstract

SRTR uses data collected by OPTN to calculate metrics such as donation rate, organ yield, and rate of organs recovered for transplant but not transplanted. In 2020, there were 12,588 deceased donors, an increase from 11,870 in 2019; this number has been increasing since 2010. The number of deceased donor transplants increased to 33,303 in 2020, from 32,313 in 2019; this number has been increasing since 2012. The increase may be due in part to the rising number of deaths of young people amid the ongoing opioid epidemic. The number of organs transplanted included 18,410 kidneys, 962 pancreata, 8350 livers, 91 intestines, 3722 hearts, and 2463 lungs. Compared with 2019, transplants of all organs except pancreata and lung transplants increased in 2020, which is remarkable despite the pandemic caused by the SARS-CoV2 virus. In 2020, 4870 kidneys, 294 pancreata, 861 livers, 3 intestines, 39 hearts, and 115 lungs were discarded. The number of discards was similar to that of the previous year. In 2019, 4,324 kidneys, 346 pancreata, 867 livers, 5 intestines, 31 hearts, and 148 lungs were discarded. These numbers suggest an opportunity to increase numbers of transplants by reducing discards. Despite the pandemic, there was no dramatic increase in number of discards and an increase in total number of donors and transplants.

摘要

器官获取与移植网络(OPTN)收集的数据被器官获取与移植受者科学登记处(SRTR)用于计算诸如捐赠率、器官产出率以及获取后未用于移植的器官比例等指标。2020年,有12588名已故捐赠者,较2019年的11870名有所增加;自2010年以来,这一数字一直在上升。2020年已故捐赠者器官移植数量从2019年的32313例增至33303例;自2012年以来,这一数字也一直在上升。这种增长可能部分归因于在持续的阿片类药物流行期间年轻人死亡人数的增加。移植的器官数量包括18410个肾脏、962个胰腺、8350个肝脏、91段肠道、3722颗心脏和2463个肺脏。与2019年相比,2020年除胰腺和肺移植外的所有器官移植数量均有所增加,尽管受到严重急性呼吸综合征冠状病毒2(SARS-CoV2)病毒引发的大流行影响,这一情况仍十分显著。2020年,有4870个肾脏、294个胰腺、861个肝脏、3段肠道、39颗心脏和115个肺脏被废弃。废弃数量与上一年相似。2019年,有4324个肾脏、346个胰腺、867个肝脏、5段肠道、31颗心脏和148个肺脏被废弃。这些数字表明,通过减少废弃器官数量有可能增加移植数量。尽管发生了大流行,但废弃器官数量并未大幅增加,捐赠者和移植总数反而有所上升。

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