Waiting for a thoracic transplant in Eurotransplant *

Waiting for a thoracic transplant in Eurotransplant *
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在 Eurotransplant 等待胸部移植*

DOI:
10.1111/j.1432-2277.2005.00234.x
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发表时间:
2006
影响因子:
3.1
通讯作者:
G. Laufer
G. Laufer
中科院分区:
医学3区
文献类型:
--
作者:
J. Smits;J. Vanhaecke;A. Haverich;E. Vries;L. Roels;G. Persijn;G. Laufer

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胸腔等待名单上的患者的前景取决于及时接受器官的机会和移植的结果。前一种概率由疾病严重程度、资源规模和分配规则三者决定。本研究的目的是客观描述欧洲移植中胸部分配系统的分配效应。等待名单流出指标的解释似乎并不简单,而且很难在不断变化的供体器官可用性的框架内评估器官分配系统的公平性。心脏移植上市时间可大幅改善;无法根据现有数据确定肺移植是否也是如此。分配方案不能解决器官短缺问题;需要将注意力转向与采购专业人员的合作。
The prospects of patients on the thoracic waiting list are governed by the chance of receiving an organ in time and by the outcome of the transplantation. The former probability is determined by a triad of disease severity, resource size and allocation rules. The aim of this study was to provide an objective description of the distributional effects of the thoracic allocation system in Eurotransplant. It appears that the interpretation of waiting‐list outflow indicators is not straightforward and that it is difficult to assess the fairness of an organ allocation system in the framework of changing donor–organ availability. The timing of listing for heart transplantation can substantially be improved; whether this is also true for lung transplantation cannot be determined from the available data. Allocation schemes cannot solve the problem of organ shortage; a shift of attention toward collaboration with procurement professionals is needed.
DOI: 10.1161/01.cir.95.12.2660
发表时间: 1997-06-17
期刊: CIRCULATION
影响因子: 37.8
作者:
Aaronson, KD;Schwartz, JS;Mancini, DM
通讯作者: Mancini, DM