全球肝移植:新兴趋势和伦理挑战
Angela L Hill1, Maryam Khan2, Amen Z Kiani1
1Washington University in St. Louis, 660 South Euclid Avenue, Box 8109, St. Louis, MO, 63110, USA.
Langenbeck's archives of surgery
|October 24, 2023
概括
肝移植 (LT) 为末期肝病 (ESLD) 提供了最终的治疗方法. 全球LT实践显示,由于区域医疗保健政策和道德考虑,在获得医疗保健方面存在重大差异.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 移植手术 移植手术
- 全球卫生政策 全球卫生政策
背景情况:
- 肝移植 (LT) 是末期肝病 (ESLD) 的首要治疗方法.
- 在获得这种救命程序方面,全球存在显著的差异.
研究的目的:
- 审查当前的全球肝移植 (LT) 实践.
- 突出挑战和不平等限制全球LT访问.
主要方法:
- 全球肝移植 (LT) 实践的分析.
- 包括疾病病因,接入,成本和伦理问题.
主要成果:
- 每年只有10%的需要LT的患者获得器官.
- 美国,中国和巴西在LT量方面处于领先地位;NAFLD在北美/欧洲是一个日益增长的迹象,而乙型肝炎/型肝炎在其他地方普遍存在.
- 由于已故捐献的基础设施限制,活着的捐赠者LT正在增加;关于捐赠者的定义和利用的伦理问题仍然存在.
结论:
- 全球LT的实践和结果是多样化的.
- 医疗保健政策,获取不平等和伦理问题显著影响LT的可用性和结果.
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