Department of Surgery, Children's Hospital at Westmead, Australia.
Department of Surgery, Children's Hospital at Westmead, Division of Child and Adolescent Health, Sydney Medical School, University of Sydney, Australia.
Semin Pediatr Surg. 2022 Jun;31(3):151192. doi: 10.1016/j.sempedsurg.2022.151192. Epub 2022 May 26.
The international practice of transplant in the pediatric population is heterogenous. Global trends in pediatric transplant activity are increasing, with diffusion of transplant activities into developing and emerging economies. There have been impacts of the COVID-19 pandemic which have in the earlier part of the pandemic caused a decrease in the number of transplants. While deceased donor programs are well established in advanced economies, emerging and developing countries rely heavily on live donor programs. Prioritization of organs for children exists in different forms throughout the world. Pediatric transplantation as a sub-specialty is young but growing around the world with a need to train surgeons and physicians in this discipline. Outreach efforts with multi-national and multi-institutional partnerships have enabled resource poor countries to establish new transplant programs for children. Further international collaboration, good quality data collection and audit, prospective research and ongoing mentorship and education are needed to further improve outcomes of all children receiving solid organ transplants.
国际儿科人群的移植实践存在差异。儿科移植活动的全球趋势正在增加，移植活动正在扩散到发展中和新兴经济体。COVID-19 大流行造成了移植数量的减少。虽然在先进经济体中，已故供体项目已经建立得很好，但新兴和发展中国家严重依赖活体供体项目。全世界在不同形式下都优先考虑儿童的器官。儿科移植作为一个亚专科，在全球范围内还很年轻但正在发展壮大，需要在这一领域培训外科医生和医生。通过多国和多机构合作开展的外展工作，使资源匮乏的国家能够为儿童建立新的移植项目。进一步的国际合作、高质量的数据收集和审核、前瞻性研究以及持续的指导和教育，对于进一步提高所有接受实体器官移植的儿童的治疗效果都是必要的。
