当前位置: X-MOL 学术Am. J. Transplant. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Solid organ donation after death in the United States: Data-driven messaging to encourage potential donors.
American Journal of Transplantation ( IF 8.9 ) Pub Date : 2020-01-09 , DOI: 10.1111/ajt.15776
Kiran Bambha 1, 2, 3 , Alexandra Shingina 1, 2 , Jennifer L Dodge 2, 4 , Kevin O'Connor 5 , Sue Dunn 6 , Jennifer Prinz 6 , Mark Pabst 2 , Kathy Nilles 7 , Lena Sibulesky 3, 8 , Scott W Biggins 1, 2, 3
Affiliation  

US deceased donor solid organ transplantation (dd-SOT) depends upon an individual's/family's altruistic willingness to donate organs after death; however, there is a shortage of deceased organ donors in the United States. Informing individuals of their own lifetime risk of needing dd-SOT could reframe the decision-making around organ donation after death. Using United Network for Organ Sharing (UNOS) data (2007-2016), this cross-sectional study identified (1) deceased organ donors, (2) individuals waitlisted for dd-SOT (liver, kidney, pancreas, heart, lung, intestine), and (3) dd-SOT recipients. Using US population projections, life tables, and mortality estimates, we quantified probabilities (Pr) of (1) becoming deceased organ donors, (2) needing dd-SOT, and (3) receiving dd-SOT. Lifetime Pr (per 100 000 US population) for males and females of becoming deceased organ donors were 212 and 146, respectively, and of needing dd-SOT were 1323 and 803, respectively. Lifetime Pr of receiving dd-SOT was 50% for males, 48% for females. Over a lifetime, males were 6.2 and females 5.5 times more likely to need dd-SOT than to become deceased organ donors. Organ donation is traditionally contextualized in terms of charity toward others. Our analyses yield a new tool, in the form of quantifying an individual's own likelihood of needing dd-SOT, which may assist with reframing motivations toward deceased donor organ donation.

中文翻译:

美国死后的实体器官捐赠:数据驱动的消息传递以鼓励潜在捐赠者。

美国已故供体实体器官移植(dd-SOT)取决于个人/家庭死后捐献器官的利他意愿;然而,美国死者器官捐献者短缺。告知个人他们一生中需要 dd-SOT 的风险可以重新制定死后器官捐赠的决策。使用器官共享联合网络 (UNOS) 数据 (2007-2016),这项横断面研究确定了 (1) 已故器官捐献者,(2) 等候 dd-SOT(肝、肾、胰腺、心脏、肺、肠)的个体), 和 (3) dd-SOT 收件人。使用美国人口预测、生命表和死亡率估计,我们量化了 (1) 成为已故器官捐献者、(2) 需要 dd-SOT 和 (3) 接受 dd-SOT 的概率 (Pr)。成为已故器官捐献者的男性和女性的终生 Pr(每 10 万美国人口)分别为 212 人和 146 人,需要 dd-SOT 的人分别为 1323 人和 803 人。男性接受 dd-SOT 的终生 Pr 为 50%,女性为 48%。在一生中,男性需要 dd-SOT 的可能性是成为已故器官捐献者的 6.2 倍,女性是 5.5 倍。传统上,器官捐赠是在对他人的慈善方面进行的。我们的分析产生了一种新工具,以量化个人自身需要 dd-SOT 的可能性的形式出现,这可能有助于重新构建对已故供体器官捐赠的动机。男性需要 dd-SOT 的可能性是成为已故器官捐赠者的 6.2 倍,女性是 5.5 倍。传统上,器官捐赠是在对他人的慈善方面进行的。我们的分析产生了一种新工具,以量化个人自身需要 dd-SOT 的可能性的形式出现,这可能有助于重新构建对已故供体器官捐赠的动机。男性需要 dd-SOT 的可能性是成为已故器官捐赠者的 6.2 倍,女性是 5.5 倍。传统上,器官捐赠是在对他人的慈善方面进行的。我们的分析产生了一种新工具,以量化个人自身需要 dd-SOT 的可能性的形式出现,这可能有助于重新构建对已故供体器官捐赠的动机。
更新日期:2020-01-09
down
wechat
bug