OPTN/SRTR 2017 Annual Data Report: Pancreas.

OPTN/SRTR 2017 Annual Data Report: Pancreas.
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DOI:
10.1111/ajt.15275
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发表时间:
2019-02-01
期刊:
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子:
--
通讯作者:
Kasiske, B L
Kasiske, B L
中科院分区:
其他
文献类型:
--
作者:
Kandaswamy, R;Stock, P G;Kasiske, B L

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2017年,1492名患者被添加到胰腺移植等待名单中,964名被列为活跃患者,比2016年略有增加。这一点意义重大,因为在过去十年中,等候名单上增加的人数稳步下降的趋势第一次得到扭转。胰腺捐赠者因脑血管意外死亡的比例下降,缺氧和头部创伤的比例随之增加。这在一定程度上是由于国家阿片类药物危机,它反映了越来越多的年轻供体用于胰腺移植。2017年的结局报告仍然受到之前报告移植物失败的变化的影响。虽然OPTN胰腺移植委员会已经批准了胰腺移植失败的更精确定义,但这些定义是最近才实施的,本报告中未反映数据。
In 2017, 1492 patients were added to the pancreas transplant waiting list, 964 listed as active, a slight increase from 2016. This is significant because for the first time in the past decade, the steady downward trend in additions to the waiting list has been reversed. Proportions of pancreas donors with cerebrovascular accident as cause of death decreased, with a concomitant increase in proportions with anoxia and head trauma. This is partly a result of the national opioid crisis, and it reflects increasing use of younger donors for pancreas transplant. The 2017 outcome report remains compromised by previous variation in reporting graft failure. Although the OPTN Pancreas Transplantation Committee has approved more precise definitions of pancreas graft failure, implementation of these definitions took place recently, and the data are not reflected in this report.