美国等候名单登记者在国外接受移植的景观
Kelly Terlizzi1, Ian S Jaffe1, Shivani S Bisen1
1Department of Surgery, NYU Langone Health, New York, NY.
Transplantation
|July 14, 2025
概括
跨境移植,主要是脏移植,在2021年之后出现了上升趋势. 了解这些模式对于国际器官移植的患者护理和资源管理至关重要.
科学领域:
- 移植研究 移植研究
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
背景情况:
- 由于在国外接受移植,美国移植等候名单的注册人可能会被删除.
- 移植的国际旅行对移植后的护理提出了挑战.
- 这项研究调查了跨境移植的趋势,地理和人口统计.
研究的目的:
- 为了确定跨境移植的时间趋势.
- 绘制国际移植目的地的地理模式.
- 分析影响国外移植的人口因素.
主要方法:
- 利用了来自移植受体科学注册表 (SRTR) 的数据.
- 确定了818名美国候选人被移除到国外进行移植 (2010-2023年).
- 使用考克斯回归来确定与在国外接受移植相关的因素.
主要成果:
- 海外移植平均每年为58.4,在2017年达到峰值,并在2021年后上升.
- 移植占病例的92.1%;主要目的地包括菲律宾,印度和墨西哥.
- 女性和黑人候选人不太可能出国旅行;非居民的可能性更高.
结论:
- 了解移植的国际旅行至关重要.
- 这些知识有助于防止受援国资源流失.
- 这对于确保接受者获得足够的移植后护理至关重要.
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