Kim Irene K, Martins Paulo N, Pavlakis Martha, Eneanya Nwamaka D, Patzer Rachel E
Department of Surgery, Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA USA.
Department of Surgery, Transplant Division, University of Massachusetts, Worcester, MA USA.
Curr Transplant Rep. 2022;9(2):114-118. doi: 10.1007/s40472-022-00369-y. Epub 2022 May 24.
Inequities in transplant access for underrepresented minorities and people of low socioeconomic status persist. The central principle to organ allocation, the "Final Rule" is grounded on "equitable allocation of cadaveric organs," regardless of background, including race/ethnicity, gender, and socioeconomic status, and there have been ongoing previous and current efforts in achieving the goal of equity in access to transplantation.
Some of these disparities are caused by impeded access to the transplant waiting list (i.e., lack of referral to transplantation, socioeconomic constraints) and are somewhat beyond the purview of Organ Procurement and Transplantation Network/United Network for Organ Sharing (OPTN/UNOS) policy. This paper examines past and present OPTN/UNOS policy efforts that strive to make access to kidney transplantation more racially equitable.
Past and current policy efforts have brought the transplant community closer to the goal of achieving equity in access to transplantation. More comprehensive data collection may aid in further understanding existing challenges.
在移植获取方面，少数族裔和社会经济地位较低人群所面临的不平等现象依然存在。器官分配的核心原则，即“最终规则”，基于“公平分配尸体器官”，不论背景如何，包括种族/民族、性别和社会经济地位，并且此前和当前一直在努力实现移植获取公平的目标。
其中一些差异是由于进入移植等候名单的机会受阻（即缺乏转介至移植、社会经济限制）导致的，在一定程度上超出了器官获取与移植网络/器官共享联合网络（OPTN/UNOS）政策的范围。本文审视了OPTN/UNOS过去和当前为使肾移植获取在种族上更公平所做的政策努力。
过去和当前的政策努力使移植界更接近实现移植获取公平的目标。更全面的数据收集可能有助于进一步了解现有挑战。
