Minority Organ Donation: The Power of an Educated Community
Minority Organ Donation: The Power of an Educated Community
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DOI：
10.1016/j.jamcollsurg.2010.02.037
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发表时间：
2010-05-01
影响因子：
5.2
通讯作者：
Miles, Patrice V.
中科院分区：
文献类型：
--
作者：
Callender, Clive O.;Miles, Patrice V.
背景：1978年，在华盛顿特区，我们意识到少数族裔捐赠者的稀缺，特别是非洲裔美国人。STUDY设计：从那时到现在，40年后，我们一直参与到一项基层努力中，强调社区教育和赋权，并结合使用大众媒体，这使少数族裔捐赠率成倍增加。该计划最初是由霍华德大学提供的500美元赠款发起的，随后在1993至2008年间得到了美国国立卫生研究院赠款和其他总计1000多万美元的资助。结果：1990至2008年间，少数民族捐赠比例翻了一番(15%至30%)。从1982年到2008年，每百万名非洲裔美国人器官捐赠者(ODM)从8名ODM增加到53名ODM，翻了两番。结论：当我们看到与每个捐赠者135,000美元的成本节省相关的成本效益比时，1000万美元的投资可能看起来是相当可观的。但与仅肾脏捐赠者节省的2亿多美元相比，这一数字很小，这与预期到2010年少数族裔捐赠者的比例将增加到35%，或相当于1 750名少数捐赠者有关。(《华尔街日报》，2010；210：708-717。(C)2010年由美国外科医师学会颁发)
BACKGROUND: In 1978 in Washington, DC, we became aware of the scarcity of minority donors, especially African Americans.STUDY DESIGN: From then until now, 4 decades later, we have been involved in a grass roots effort emphasizing community education and empowerment combined with the use of mass media, which has increased minority donation rates exponentially. This program was initiated with a $500 grant from Howard University and was subsequently funded by National Institutes of Health grants and other funding totaling more than $10 million between 1993 and 2008.RESULTS: Between 1990 and 2008, minority donations percentages have doubled (15% to 30%). African-American organ donors per million (ODM) have quadrupled from 8 ODM to 53 ODM between 1982 and 2008.CONCLUSIONS: The investment of $10 million may seem substantial when we look at the cost-to-benefit ratio associated with the cost savings of $135,000 per donor. But it is small when compared with the more than $200 million saved by kidney donors alone, which is associated with the expected increase in the percentage of minority donors to 35% by 2010, or the equivalent of 1,750 minority donors. (J Am Coll Surg 2010;210:708-717. (C) 2010 by the American College of Surgeons)