Similarities and Differences in Allocation Policies for Pediatric Liver Transplantation Across the World.
J Pediatr Gastroenterol Nutr
; 68(5): 700-705, 2019 05.
Article
en En
| MEDLINE
| ID: mdl-30676519
ABSTRACT
OBJECTIVES:
We aimed to investigate national allocation policies for pediatric liver transplantation (LT).METHOD:
A survey was prepared by the European Society for Paediatric Gastroenterology Hepatology and Nutrition Hepatology Committee in collaboration with the North American Studies of Pediatric Liver Transplantation consortium. The survey was sent to pediatric hepatologists and transplant surgeons worldwide. National data were obtained from centrally based registries.RESULTS:
Replies were obtained from 15 countries from 5 of the world continents. Overall donation rate varied between 9 and 35 per million inhabitants. The number of pediatric LTs was 4 to 9 per million inhabitants younger than 18 years for 13 of the 15 respondents. In children younger than 2 years mortality on the waiting list (WL) varied between 0 and 20%. In the same age group, there were large differences in the ratio of living donor LT to deceased donor LT and in the ratio of split liver segments to whole liver. These differences were associated with possible discrepancies in WL mortality.CONCLUSIONS:
Similarities but also differences between countries were detected. The described data may be of importance when trying to reduce WL mortality in the youngest children.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_acesso_equitativo_servicos
/
2_cobertura_universal
/
2_muertes_prevenibles
Asunto principal:
Pediatría
/
Obtención de Tejidos y Órganos
/
Trasplante de Hígado
/
Gastroenterología
/
Política de Salud
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Gastroenterol Nutr
Año:
2019
Tipo del documento:
Article
País de afiliación:
Suecia