Department of Surgical Science, University of Rome "Tor Vergata", Rome, Italy.
Transplantation and Hepatobiliary Surgery, University of Padova, Padova, Italy.
Transpl Int. 2023 Feb 8;36:10800. doi: 10.3389/ti.2023.10800. eCollection 2023.
In the last few years, innovative technology and health care digitalization played a major role in all medical fields and a great effort worldwide to manage this large amount of data, in terms of security and digital privacy has been made by different national health systems. Blockchain technology, a peer-to-peer distributed database without centralized authority, initially applied to Bitcoin protocol, soon gained popularity, thanks to its distributed immutable nature in several non-medical fields. Therefore, the aim of the present review (PROSPERO N° CRD42022316661) is to establish a putative future role of blockchain and distribution ledger technology (DLT) in the organ transplantation field and its role to overcome inequalities. Preoperative assessment of the deceased donor, supranational crossover programs with the international waitlist databases, and reduction of black-market donations and counterfeit drugs are some of the possible applications of DLT, thanks to its distributed, efficient, secure, trackable, and immutable nature to reduce inequalities and discrimination.
在过去的几年中，创新技术和医疗保健数字化在所有医学领域都发挥了重要作用，为了管理这些大量数据，不同的国家医疗系统都做出了巨大的努力来确保安全性和数字隐私。区块链技术是一种没有中心化权威的点对点分布式数据库，最初应用于比特币协议，由于其在多个非医疗领域的分布式不可变特性，很快就流行起来。因此，本次综述（PROSPERO N° CRD42022316661）的目的是确定区块链和分布式账本技术（DLT）在器官移植领域的未来潜在作用及其克服不平等的作用。术前对已故供体的评估、跨国交叉计划与国际等待名单数据库、减少黑市捐赠和假冒药品，这些都是 DLT 的一些可能应用，因为它具有分布式、高效、安全、可追踪和不可变的特性，可以减少不平等和歧视。
