https://scholars.lib.ntu.edu.tw/handle/123456789/560035
標題: | The influence of the organ allocation policy on a patient's chances of undergoing heart transplantation and the posttransplantation survival rate | 作者: | Tsao C.-I. NAI-KUAN CHOU NAI-HSIN CHI SHYR-CHYR CHEN Ko W.-J. HSI-YU YU YIH-SHARNG CHEN SHOEI-SHEN WANG |
公開日期: | 2012 | 卷: | 44 | 期: | 4 | 起(迄)頁: | 881-882 | 來源出版物: | Transplantation Proceedings | 摘要: | The Taiwan Organ Registry and Sharing Center (TORSC) was established by the Department of Health on June 6, 2002. According to the organ allocation policy, the computer-based organ-matching program began on April 1, 2005. In order to encourage organ donations, "donor hospitals" were given the highest priority. On October 1, 2010, the TORSC implemented a new allocation policy allowing highest priority to the most critically ill patients listed as 1A status. The aim of this study was to investigate the influence of the allocation policy on the likelihood of undergoing a heart transplantation (HTx) as well as the survival after the procedure. Based on the timeline of changes in the organ allocation policy, the patients were divided into three groups: "individual decision," "donor hospital first," and "urgency status first." We observed the waiting time of status 1A patients to decrease and their chance to receive a donor heart increase but their survival rate after HTx to decrease. Further research is needed to define the optimal organ allocation policy. ? 2012 Elsevier Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860756532&doi=10.1016%2fj.transproceed.2012.03.025&partnerID=40&md5=4aab0305941e121710666b9655626fc0 https://scholars.lib.ntu.edu.tw/handle/123456789/560035 |
ISSN: | 0041-1345 | DOI: | 10.1016/j.transproceed.2012.03.025 | SDG/關鍵字: | adult; conference paper; critical illness; female; heart transplantation; human; major clinical study; male; medical decision making; organ donor; policy; postoperative period; priority journal; register; survival rate; Taiwan; Adult; Critical Illness; Female; Heart Failure; Heart Transplantation; Humans; Male; Middle Aged; Organizational Policy; Patient Selection; Registries; Risk Assessment; Risk Factors; Severity of Illness Index; Survival Analysis; Survival Rate; Taiwan; Time Factors; Tissue and Organ Procurement; Tissue Donors; Treatment Outcome; Waiting Lists |
顯示於: | 醫學系 |
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