在穆斯林占多数的国家中,器官捐献和移植率的发展趋势
Fatima Malik1,2, Mehreen Khan Bhettani1,2, Junaid Mansoor1,2
1Guy's & St Thomas' Hospital, London, United Kingdom.
概括
在许多穆斯林占多数的国家,器官捐献和器官移植率很低,在50个国家中只有21个国家报告了有限的活动. 社会经济因素和文化障碍显著影响已故和活着的捐赠者的活动,需要定制的干预措施.
科学领域:
- 全球健康 全球健康
- 移植医学 移植医学
- 健康的社会经济决定因素
背景情况:
- 穆斯林占多数的国家面临着高负担的器官衰竭,尽管不同的社会文化和经济景观.
- 绘制器官捐献和移植活动的地图对于这些异质地区未来的医疗保健规划至关重要.
研究的目的:
- 分析2013-2023年间在50个穆斯林占多数的国家的器官捐献和移植活动.
- 确定与器官捐献相关的社会经济指标,并比较穆斯林占多数和其他国家的器官捐献活动率.
主要方法:
- 对50个穆斯林占多数的国家,分析了来自全球注册表 (2013-2023) 和开源存储库的数据.
- 使用Poisson和负二项式回归分析来评估社会经济关联和比较捐赠率.
主要成果:
- 仅在21/50个国家报告了器官捐献/移植活动,活体捐献者占已故捐献者的优势.
- 脏和肝脏移植是最常见的手术;其他移植活动很少发生.
- 社会经济指标与捐赠活动相关,穆斯林占多数的国家与区域同行相比,死亡捐赠率较低.
结论:
- 在许多穆斯林占多数的国家,移植的机会仍然有限.
- 社会经济因素,以及宗教和文化障碍,对器官捐赠构成重大挑战.
- 异质性需要制定国家特定的战略,以增强移植机会.
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