通过FOEDUS-EOEO平台进行欧洲跨境已故捐献器官分配的重要性和潜力
Andreas Elmer1, Vera Valérie Lütolf1, Claudia Carella2
1Swisstransplant, Bern, Switzerland.
概括
在欧洲,FOEDUS-EOEO平台促进了跨境器官移植. 虽然器官供应和器官移植增加,但整体利用率仍然适度,尽管肝脏和年轻捐赠者的使用率最高.
科学领域:
- 移植免疫学和器官分配
- 公共卫生和跨境医疗保健倡议
背景情况:
- 欧洲器官捐献者和接受者组织联合会-欧洲器官捐献者和接受者组织 (FOEDUS-EOEO) 平台于2015年重新启动.
- 它旨在优化欧盟成员国的已故捐赠器官分配,当国内没有合适的接受者.
研究的目的:
- 分析2015年6月至2021年12月FOEDUS-EOEO平台内器官供应,移植和利用率的趋势.
- 根据来源国,器官类型和捐赠者的年龄来识别器官利用的变化.
主要方法:
- 由FOEDUS-EOEO平台记录的器官供应和移植数据的回顾性分析.
- 计算器官利用率作为成功移植的提供器官的百分比.
- 统计比较不同国家,器官类型和捐赠者年龄组的利用率.
主要成果:
- 总共提供了1483个器官,其中287个 (19.4%) 在2015年6月至2021年12月间移植.
- 2017年至2021年,器官供应和器官移植都显示出日益增长的趋势,其利用率在2018年后稳定下来.
- 斯洛伐克提供的器官 (47.2%) 的利用率最高,根据器官类型 (肝脏:35.7%) 和供体年龄 (1-5岁:25.0%) 有显著差异.
结论:
- 欧洲FOEDUS-EOEO平台成功地使欧洲患者,特别是需要肝脏,心脏或脏移植的儿科接受者,能够接受拯救生命的器官.
- 欧洲国家越来越多地参与FOEDUS-EOEO平台,这增加了器官供应数量,并且在较小程度上增加了移植率.
- 需要进一步努力,以提高整体器官利用率,并解决不同国家和器官类型中观察到的差异.
关键词:
已故供体器官移植 已故供体器官移植国际器官交换国际器官交换器官的分配器官的分配器官的分配器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器器官的利用器官的利用实体器官移植移植 实体器官移植更多相关视频
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