肺分配:一个棘手、复杂的多方面挑战

IF 9 1区 医学 Q1 RESPIRATORY SYSTEM Thorax Pub Date : 2024-06-02 DOI:10.1136/thorax-2024-221747
Andrew Fisher, Jasvir Parmar
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引用次数: 0

摘要

我们饶有兴趣地阅读了 Roussel 等人的论文1 。在这项研究中,作者考察了在两种截然不同的医疗体系中分配到供体器官的肺移植受者的结果。他们的研究结果提出了一个复杂而棘手的问题:什么是最公平的捐肺分配系统,尤其是对于那些被确定为等待名单上死亡风险最高的候选者而言。全世界有无数种不同的分配制度,这凸显了医疗需求、伦理、法律和社会问题之间复杂的相互作用,这些问题决定了国家器官分配政策的制定。法国的国家肺分配计划与英国的肺分配计划类似,都是通过肺移植来满足医疗需求。
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Lung allocation: a vexed, complex multifaceted challenge
We read with interest the paper from Roussel et al .1 In this study, the authors examine the outcomes for lung transplant recipients who were allocated donor organs in two very different healthcare systems. Their findings raise the complex and vexed question of what the fairest system for the allocation donor lungs is, especially for those candidates identified as being at the highest risk of waiting list mortality. There are a myriad of different allocation systems in operation across the world, which highlights the complex interplay between medical need, the ethical, legal and societal issues that shape national organ allocation policies.2 3 The paper examines two large national databases over a 10-year period to compare lung transplant outcomes in the French and US systems. The French national lung allocation programme is similar to the UK lung allocation …
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来源期刊
Thorax
Thorax 医学-呼吸系统
CiteScore
16.10
自引率
2.00%
发文量
197
审稿时长
1 months
期刊介绍: Thorax stands as one of the premier respiratory medicine journals globally, featuring clinical and experimental research articles spanning respiratory medicine, pediatrics, immunology, pharmacology, pathology, and surgery. The journal's mission is to publish noteworthy advancements in scientific understanding that are poised to influence clinical practice significantly. This encompasses articles delving into basic and translational mechanisms applicable to clinical material, covering areas such as cell and molecular biology, genetics, epidemiology, and immunology.
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