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Pre-clinical Model of Cardiac Donation after Circulatory Death
Published on: August 2, 2019
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确保获得新的供体心脏保存方式
Joseph B Lerman1, Katherine D Marapese2, Amber R Johnson2
1Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, NC.
概括
由于新的保存方法,如活体输液,心脏移植正在增加,但成本正在增加. 这份概述考察了心脏捐献费用不断上升的情况,并提出了节省成本和改善获取的解决方案.
科学领域:
- 心血管外科心血管外科
- 移植医学 移植医学
- 卫生经济学 卫生经济学
背景情况:
- 美国对心脏移植的需求不断增长,尽管在早期心脏病管理方面取得了进展.
- 通过新的采购和保存技术,增加捐赠心脏的利用,包括活体心脏输液.
- 扩大的捐赠者池包括循环死亡 (DCD) 后的捐赠,扩展标准的捐赠者和地理上遥远的捐赠者.
研究的目的:
- 为提供与捐赠心脏采购相关的不断上升的成本的概述.
- 调查导致心脏捐献费用上升的根本原因.
- 讨论降低成本和改善心脏移植的潜在策略.
主要方法:
- 审查当前在捐赠心脏采购和保存技术的实践.
- 分析与活体心脏输液和扩展标准供体利用相关的成本因素.
- 探索新兴的供体器官采购服务行业.
主要成果:
- 新的保存技术使得心脏移植率的增加成为可能.
- 这些先进方法的采用与捐赠心脏采购成本的大幅增加相吻合.
- 值得注意的是,一个专门的捐赠器官采购服务行业的增长.
结论:
- 心脏保存方面的进步对于增加移植量至关重要.
- 采购成本上升对心脏移植的可获得性构成了挑战.
- 需要战略解决方案来平衡技术进步与成本效益和患者获取.
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