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本文引用的文献

1
Perception regarding live kidney donation in the general population of South Korea.韩国普通民众对活体肾脏捐献的认知。
PLoS One. 2022 Aug 4;17(8):e0272495. doi: 10.1371/journal.pone.0272495. eCollection 2022.
2
Outcomes of living liver donors are worse than those of matched healthy controls.活体肝移植供者的预后比匹配的健康对照者差。
J Hepatol. 2022 Mar;76(3):628-638. doi: 10.1016/j.jhep.2021.10.031. Epub 2021 Nov 14.
3
Metabolic risks in living kidney donors in South Korea.韩国活体肾供体的代谢风险。
Kidney Res Clin Pract. 2021 Dec;40(4):645-659. doi: 10.23876/j.krcp.20.271. Epub 2021 Oct 12.
4
Healthcare Resource Utilization After Living Liver Donation: A Retrospective Case-Control Study.活体肝移植供体的医疗资源利用情况:一项回顾性病例对照研究。
Transplantation. 2022 Jun 1;106(6):1201-1205. doi: 10.1097/TP.0000000000003958. Epub 2022 Sep 23.
5
Economic Impact of Donating a Kidney on Living Donors: A Korean Cohort Study.捐肾对活体供者的经济影响:一项韩国队列研究。
Am J Kidney Dis. 2022 Feb;79(2):175-184.e1. doi: 10.1053/j.ajkd.2021.07.009. Epub 2021 Aug 20.
6
Changes in the quality of life of living liver donors: A meta-analysis.活体肝移植供者生活质量变化的 Meta 分析。
Int J Nurs Stud. 2020 Sep;109:103586. doi: 10.1016/j.ijnurstu.2020.103586. Epub 2020 May 6.
7
Long-term Survival of 10,116 Korean Live Liver Donors.10116 名韩国活体肝移植供者的长期生存状况。
Ann Surg. 2021 Aug 1;274(2):375-382. doi: 10.1097/SLA.0000000000003752.
8
Design and Methods of the Korean Organ Transplantation Registry.韩国器官移植登记处的设计与方法。
Transplant Direct. 2017 Jul 7;3(8):e191. doi: 10.1097/TXD.0000000000000678. eCollection 2017 Aug.
9
KDIGO Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors.KDIGO 活体肾捐献者评估与管理临床实践指南
Transplantation. 2017 Aug;101(8S Suppl 1):S1-S109. doi: 10.1097/TP.0000000000001769.
10
The Long-Term Follow-up and Support for Living Organ Donors: A Center-Based Initiative Founded on Developing a Community of Living Donors.长期随访和支持活体器官捐献者:基于发展活体捐献者社区的中心倡议。
Am J Transplant. 2016 Dec;16(12):3385-3391. doi: 10.1111/ajt.14005. Epub 2016 Sep 14.

韩国活体捐赠者监测与支持策略:专家立场文件

Strategies for Monitoring and Supporting Living Donors in Korea: An Expert Position Paper.

作者信息

Kang Eunjeong, Woo Hye Young, Hong Su Young, Lee Hajeong, Min Sangil, Ha Jongwon

机构信息

Transplantation Center, Seoul National University Hospital, Seoul, Korea.

Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.

出版信息

J Korean Med Sci. 2025 Mar 17;40(10):e33. doi: 10.3346/jkms.2025.40.e33.

DOI:10.3346/jkms.2025.40.e33
PMID:40098490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11913627/
Abstract

BACKGROUND

The number of organ transplants in South Korea has increased, with a notable rise in living donor transplants. Ensuring their long-term health and well-being is critical to address potential complications and maintain the success of the transplant programs.

METHODS

A diverse advisory panel, including transplant experts and coordinators, was established to evaluate the follow-up care for living donors. The panel reviewed the results of a brief survey of donors regarding their donation experience, follow-up programs, guidelines, and policies from South Korea and other countries, aiming to identify best practices and recommend improvements.

RESULTS

The study found that follow-up care for living donors in South Korea is inconsistent and lacks standardization. Significant variability exists in follow-up practices across different institutions, and comprehensive data on donor health pre- and post-donation are scarce. The need for continuous, systematic follow-up, encompassing both medical and psychological support, is emphasized to ensure donor well-being.

CONCLUSION

Improving follow-up care for living donors is essential. Establishing a national registry and increasing donor advocacy teams are meaningful steps to enhance donor care, ensure long-term health, and maintain ethical standards in organ donation.

摘要

背景

韩国器官移植的数量有所增加,活体供体移植显著增多。确保他们的长期健康和幸福对于应对潜在并发症以及维持移植项目的成功至关重要。

方法

成立了一个由移植专家和协调员等组成的多元化咨询小组,以评估对活体供体的后续护理。该小组审查了对供体关于其捐赠经历、后续项目、指南以及韩国和其他国家政策的简短调查结果,旨在确定最佳实践并提出改进建议。

结果

研究发现,韩国对活体供体的后续护理不一致且缺乏标准化。不同机构的后续实践存在显著差异,捐赠前后供体健康的全面数据稀缺。强调需要持续、系统的后续护理,包括医疗和心理支持,以确保供体的幸福。

结论

改善对活体供体的后续护理至关重要。建立国家登记册并增加供体宣传团队是加强供体护理、确保长期健康以及维持器官捐赠伦理标准的有意义举措。