关于使用衰老指标用于移植决策的患者观点
Akanksha Nalatwad1, Evelien E Quint2, Maria Fazal3
1Department of Surgery, New York University Grossman School of Medicine and Langone Health, New York, New York, USA.
Progress in transplantation (Aliso Viejo, Calif.)
|August 6, 2024
概括
患者对使用脆弱性和认知功能来决定移植的看法是不同的. 虽然大多数人认为基于年龄的拒绝是不公平的,但对使用脆弱性和认知障碍作为标准的意见各不相同.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植的伦理 移植的伦理
- 老年病的医生 老年病的医生
背景情况:
- 和认知功能通常在移植评估中进行评估.
- 患者对使用这些衰老指标的伦理影响的看法尚未得到充分理解.
研究的目的:
- 调查患者的观点,将衰老措施 (如虚弱和认知功能) 纳入移植决策中.
主要方法:
- 对100名接受脏移植评估的参与者进行了一项调查.
- 参与者在回答关于其公平性作为移植标准的问题之前,先获得了脆弱性和认知障碍的定义.
主要成果:
- 大多数人 (75.6%) 认为基于年龄而被排除在移植之外是不公平的.
- 在拒绝移植的基础上,基于虚弱 (46.5%) 或认知障碍 (45.9%) 的观点存在分歧.
- 年轻的参与者更喜欢列出脆弱的患者,无论年龄如何,并且更喜欢脆弱的患者得到社会支持.
结论:
- 患者的观点对于在移植评估中使用脆弱性,认知功能和年龄的伦理准则至关重要.
- 应用这些标准的公平性需要仔细考虑患者的观点.
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