美国的移植中心是否愿意移植囚犯?
Lauren S Faber1, Tania Lyons1, Michael S Davis1
1Department of Surgery, Division of Urology, University of New Mexico, Albuquerque, New Mexico, USA.
The Canadian journal of urology
|October 15, 2023
概括
许多美国移植中心不愿意评估,列出或移植囚犯,尽管联合国器官共享网络 (UNOS) 的指导方针. 障碍包括跟踪,资金和安全问题,阻碍囚犯平等获得移植.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植 移植 移植 移植
- 公共卫生 公共卫生
背景情况:
- 联合国器官共享网络 (UNOS) 倡导平等的器官获取,指出囚犯的身份不应阻碍移植评估.
- 尽管有UNOS的指导方针,但囚犯在获得移植服务方面遇到重大障碍.
- 这项研究解决了监禁人员在器官移植获取方面的差异.
研究的目的:
- 确定愿意评估,列出并为囚犯进行移植的美国移植中心的数量.
- 确定移植中心愿意或不愿意治疗被监禁患者背后的原因.
主要方法:
- 一项调查分发给所有在UNOS网站上列出的活跃的成年移植中心.
- 调查中心被问及他们对囚犯的评估,清单和移植的政策.
- 收集和分析了回复,以量化意愿和识别障碍.
主要成果:
- 在122个响应中心中,只有49个愿意评估,43个愿意列出,42个愿意移植囚犯.
- 14个中心根据具体情况对囚犯进行考虑,考虑犯罪类型,刑期长度和释放可能性.
- 拒绝的常见原因包括不充分的后续,资金问题,运输挑战,药物遵守,安全,患者安全和缺乏社会支持.
结论:
- 对于寻求脏移植的囚犯来说,仍然存在重大障碍,这与UNOS关于平等获取的立场相矛盾.
- 移植中心可能缺乏对移植禁忌的了解,或对正系统的具体情况的了解.
- 移植专业人员有责任解决这些障碍,并确保所有患者公平获得器官,无论他们是否被监禁.
相关概念视频
01:28Kidney Transplant I: Introduction
14
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
14
01:22Bone Marrow Sampling and Transplants
342
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
342
01:24Tissue Transplantation
380
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
380
01:26Kidney Transplant II: Surgical Procedure
21
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
21