OPTN/SRTR 2016 Annual Data Report: Kidney.
OPTN/SRTR 2016 Annual Data Report: Kidney.
复制标题
OPTN/SRTR 2016年度数据报告：肾脏。
DOI：
10.1111/ajt.14557
复制
发表时间：
2018-01
期刊：
影响因子：
--
通讯作者：
Israni AK
中科院分区：
文献类型：
--
作者：
Hart A;Smith JM;Skeans MA;Gustafson SK;Wilk AR;Robinson A;Wainright JL;Haynes CR;Snyder JJ;Kasiske BL;Israni AK
2016年的数据显示，短期和长期同种异体移植存活持续呈积极趋势，十多年来活跃的候选名单数量首次减少，同时死亡的供体肾脏移植数量也在增加。在2014年实施新的肾脏分配制度后，一些群体的移植率发生了巨大变化，现在已经稳定下来，可以评估新的稳定状态和趋势。成人肾移植仍然面临许多挑战，包括活体供体移植率停滞不前，移植机会的地理差异，活体供体移植的种族差异，以及总体上对肾脏的持续需求远远超过供应。对于儿科受者来说，活体供体移植比例的下降令人担忧。2016年，只有34.2%的儿科移植来自活体供体，而2005年这一比例为47.2%。在过去的十年中，亲属供体的数量急剧减少，在儿科候选人中进行的非亲属定向移植的数量仍然很低（50）。
Data from 2016 show ongoing positive trends in short- and long-term allograft survival, and a decrease in the number of active listed candidates for the first time in more than a decade, with a concomitant increase in deceased donor kidney transplants. Transplant rates that had changed dramatically for some groups after implementation of the new kidney allocation system in 2014 are stabilizing, allowing for evaluation of new steady states and trends. Many challenges remain in adult kidney transplantation, including stagnant rates of living donor transplant, geographic disparities in access to transplant, racial disparities in living donor transplant, and overall a continuing demand for kidneys that far outpaces the supply. For pediatric recipients, a decline in the proportion of living donor transplants is of concern. In 2016, only 34.2% of pediatric transplants were from living donors, compared with 47.2% in 2005. The number of related donors decreased dramatically over the past decade, and the number of unrelated directed transplants performed in pediatric candidates remained low (50).