Effectiveness in the performance of organ transplants in the State of Paraná, Brazil

Iriana Oliveira, C. M. D. Souza, M. Galdino, Paloma de Souza Cavalcante Pissinati, L. G. D. Silva, M. Vannuchi, M. Haddad
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Abstract

Objective: To analyze the effectiveness of organ transplants in the state of Parana, Brazil. Methods: A cross-sectional quantitative study was conducted with data from 2,036 solid organ transplants performed in the state between 2011 and 2015. Three indicators were calculated, per capita transplants, meeting the demands of the population and the demand for transplants, which demonstrated the effectiveness and the disparities in the process. The association between the variables was verified by Pearson's Chi-Square test and Fisher's exact test. Results: Most transplants were performed in philanthropic hospitals, male, funded by public funding, and there was an annual increase in the number of transplants per capita and in the productivity of kidney, liver and heart transplantation teams. Although renal transplantation is the most performed in absolute numbers, it served a maximum of 2.2% of its demand. Conclusion: It is necessary to devise strategies to meet the demand for organ transplants, above all, to consolidate the process of donating organs in the state under study.
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巴西帕拉纳州器官移植的有效性
目的:分析巴西巴拉那州器官移植的有效性。方法:对2011年至2015年在该州进行的2036例实体器官移植的数据进行横断面定量研究。计算了人均移植量、满足人口需求和移植需求三个指标,显示了移植的有效性和过程中的差距。通过Pearson卡方检验和Fisher精确检验验证了变量之间的相关性。结果:大多数移植手术在慈善医院进行,男性,由公共资金资助,人均移植数量和肾、肝、心移植团队的生产力每年都在增加。虽然肾移植在绝对数量上是最多的,但它最多只能满足其需求的2.2%。结论:有必要制定满足器官移植需求的策略,首先要巩固所研究国家的器官捐献进程。
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