The National Program for Deceased Organ Donation in China

The National Program for Deceased Organ Donation in China
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DOI:
10.1097/tp.0b013e3182985491
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发表时间:
2013-07-15
期刊:
影响因子:
6.2
通讯作者:
Liu, Yongfeng
Liu, Yongfeng
中科院分区:
医学2区
文献类型:
--
作者:
Huang, Jiefu;Wang, Haibo;Liu, Yongfeng

文献摘要

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中国已经制定了一项新的死亡器官捐献国家计划,以解决该国对器官移植的需求。该计划坚持世界卫生组织(WHO)的指导原则,符合伊斯坦布尔宣言,尊重中国人民的文化和社会价值观。对2010年至2012年开展的试点试验的经验进行了评估,以生成在中国实施的国家器官捐献和移植计划的综合设计。该方案的法律的框架是自2007年以来通过一系列立法步骤建立的。已经设立了负责的国家委员会,以监督全国的器官捐赠和移植活动。中国卫生部已批准164家器官移植医院,每家医院都有一个器官获取组织(OPO)进行器官捐献和器官回收。在中国,死亡器官捐献的国家方案包括I类(脑死亡后器官捐献)、II类(循环死亡后器官捐献)和III类(脑死亡后循环死亡后器官捐献)。中国器官移植反应系统(COTRS)的建立是为了公平和透明地分配器官。已经建立了科学的登记系统来评估移植中心和OPO的表现。中国正在实施一项新的国家计划,用于死者器官捐献。该计划包括一个独特的器官捐献方法,中国第三类,这将在中国各地颁布,旨在获得中国社会的广泛接受。
China has developed a new national program for deceased-organ donation to address the need for organ transplantation in the country. The program adheres to the World Health Organization (WHO) guiding principles, is compliant with the Declaration of Istanbul, and respects the cultural and social values of the Chinese people. The experience of pilot trials conducted between 2010 and 2012 was evaluated to generate a comprehensive design of a national program of organ donation and transplantation for implementation throughout China. The legal framework for this program was established from a series of legislative steps since 2007. Accountable national committees have been established to oversee activities of organ donation and transplantation across the nation. The Ministry of Health (MOH) has accredited 164 organ transplant hospitals in China, each of which has an organ procurement organization (OPO) to conduct organ donation and organ recovery. National protocols for deceased-organ donation in China include category I (organ donation after brain death), category II (organ donation after circulatory death), and category III (organ donation after brain death followed by circulatory death). The China Organ Transplant Response System (COTRS) has been developed to allocate organs equitably and transparently. Scientific registries have been established to evaluate the performance of transplant centers and OPOs. China is in the process of implementing a new national program for deceased-organ donation. The program includes a unique approach of organ donation, China category III, which will be promulgated throughout China and is intended to gain widespread acceptance of Chinese society.