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关于移植差异的全球视角

Deena Brosi¹, Marina Wainstein^2,3, Lilia Cervantes⁴

¹Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

Current opinion in organ transplantation

|January 2, 2025

概括

全球器官衰竭疾病负担因国家收入而异. 改善器官移植接入和护理至关重要,特别是在低收入和中低收入国家 (LLMICs) 和高收入国家 (UICs) 中.

科学领域:

全球健康全球健康
移植医学移植医学
流行病学流行病学

背景情况:

器官衰竭代表着一个重大的全球健康挑战,在全球范围内,其患病率正在增加.
疾病负担和器官衰竭的病因在高收入和低收入国家之间存在很大差异.

研究的目的:

审查器官衰竭的全球疾病负担.
总结器官移植的结果和差异.
确定改善全球获得器官移植的战略.

主要方法:

对有关器官衰竭和移植的当前文献进行系统审查.
分析国家内部和国家间的差异.
确定改善全球访问的潜在机制.

主要成果:

器官衰竭和器官移植存在显著差异,往往与国家收入相关.
低收入和中低收入国家 (LLMICs) 面临较高的传染性疾病相关器官衰竭率.
高收入国家 (UICs) 由于非传染性疾病的高患病率,与收入相关的获取差异.

结论:

改善器官移植的获取和护理对于改善全球终端器官疾病的结果至关重要.
低低成本经济体可以从国际合作和区域伙伴关系中受益,以发展移植系统.
医疗器官移植中心应该专注于增加器官捐赠者的可用性和公众参与,以满足不断增长的移植需求.

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