OPTN/SRTR 2023 年度数据报告:脏
Krista L Lentine1, Jodi M Smith2, Grace R Lyden3
1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN; SSM Health Saint Louis University Hospital Transplant Center, Saint Louis University School of Medicine, St. Louis, MO.
概括
在2023年,移植实现了创纪录的已故捐赠者移植 (DDKTs),但也增加了不使用率. 移植前死亡率有所下降,但存活供体移植 (LDKT) 获取的差异仍然存在.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 公共卫生 公共卫生
背景情况:
- 移植是末期病的关键治疗方法.
- 该领域已经应对了包括COVID-19大流行和器官分配政策在内的挑战.
- 了解每年移植量,结果和差异的趋势对于改善患者护理至关重要.
研究的目的:
- 分析2023年美国移植的关键趋势和结果.
- 确定已故捐赠者移植 (DDKT) 和活体捐赠者移植 (LDKT) 的成功,挑战和持续的差异.
- 评估移植前死亡率,脏不使用率和移植存活率的变化.
主要方法:
- 从2023年开始的全国移植数据的分析.
- 将2023年的数据与前几年的数据进行比较,以确定趋势.
- 检查不同的人口和捐赠者特征的移植率,等待时间,死亡率,不使用和移植存活率.
主要成果:
- 进行了创纪录的28,142次脏移植,主要是由于DDKTs的增加.
- 脏不使用率增加到27.9%,特别是在老年捐赠者和具有高脏捐赠者个人资料指数得分的人群中.
- 移植前死亡率下降,但非白人和公共保险患者的LDKT接入差异仍然存在.
- 在所有年龄组中,五年移植存活率有利于LDKT而不是DDKT.
结论:
- 虽然2023年标志着移植的成功,但越来越多的不使用和持续的LDKT接入差异需要注意.
- 移植前死亡率下降是一个积极的趋势,但根据捐赠服务区域的变化需要进一步调查.
- 减轻脏不使用和解决LDKT中的不平等问题的策略对于提高脏移植结果至关重要.
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