活体捐赠者的决定因素和后果 讨论方向
Mary K Roberts1, Jonathan Daw1
1Department of Sociology and Criminology, The Pennsylvania State University, University Park, PA, USA.
Progress in transplantation (Aliso Viejo, Calif.)
|November 10, 2023
概括
潜在的活体脏捐赠者发起的讨论比候选人发起的讨论更成功. 这种讨论启动的差异可能导致活体脏捐赠率的种族差异.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 健康差异 在健康上的差异
背景情况:
- 活体捐赠者的移植是末期病的重要治疗方法.
- 在候选人的社交网络中讨论活体捐赠至关重要.
- 很少有人知道是谁发起了这些讨论,以及它对移植结果或差异的影响.
研究的目的:
- 调查移植候选人和潜在的捐赠者启动活体捐赠者讨论的情况.
- 根据谁启动了讨论来确定活体捐赠者评估的协议率.
- 确定与活体捐赠者讨论和协议相关的社会人口统计因素.
主要方法:
- 2015年,在美国东南部的一个大型移植中心进行了一项横截面调查.
- 收集的数据包括候选人-网络成员对讨论和启动消息来源.
- 使用多项逻辑回归的统计分析比较了讨论类型和协议率.
主要成果:
- 大多数候选人-网络成员对 (80%) 没有讨论活着的脏捐赠.
- 候选人发起的讨论 (11%) 比潜在捐助者发起的讨论 (10%) 稍微更常见.
- 对于潜在捐赠者发起的讨论 (72%) 和候选人发起的讨论 (39%),对捐赠者评估的同意显着更高.
- 白人候选人 (16%) 与黑人候选人 (7%) 相比,由潜在捐助者发起的讨论更频繁.
结论:
- 潜在捐赠者发起的讨论为活体捐赠者评估提供了更高的同意率.
- 启动活体捐赠者讨论可能会在活体捐赠中观察到的种族差异中发挥作用.
- 需要进一步的研究来解决这些差异,并改善获得活体捐赠者的移植的机会.
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