造血干细胞移植:一个全球视角
Alois Gratwohl1, Helen Baldomero, Mahmoud Aljurf
1European Group for Blood andMarrow Transplantation, Transplant Activity Survey Office, Department of Hematology, University Hospital Basel, Basel, Switzerland. hematology@uhbs.ch
JAMA
|April 29, 2010
概括
造血干细胞移植 (HSCT) 在全球范围内用于各种疾病. 更高收入的国家,更高的医疗保健支出,更多的移植团队与增加的HSCT率相关.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学 移植医学
- 全球健康 全球健康
背景情况:
- 造血干细胞移植 (HSCT) 是一个复杂的程序,需要大量的资源.
- 全球关于高高质量纤维化技术的使用和影响因素的数据仍然有限.
研究的目的:
- 分析全球使用HSCT的情况.
- 识别不同地区在高科技技术应用中的差异.
- 探索宏观经济指标与全球高职业技术培训率之间的关系.
主要方法:
- 2006年对71个国家的1327个中心进行了回顾性调查.
- 收集关于异构和自身的HSCT程序的数据.
- 对移植率,适用情况,捐赠者类型和宏观经济因素的分析.
主要成果:
- 首次进行的HSCT超过5万次,其中57%为自身测试,43%为异性测试.
- 根据地区,HSCT率有很大差异,欧洲的中位数率最高.
- 在人口低于30万,土地面积小或人均国民总收入低 (<680美元) 的国家,没有进行HSCT.
- 政府的卫生支出,高学历培训团队密度,人力发展指数和人均国民总收入与高学历培训率有很强的关联.
结论:
- 造血干细胞移植在全球范围内应用于广泛的疾病.
- 拥有强大的医疗保健系统和成熟的移植基础设施的高收入国家更频繁地使用HSCT.
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