Liver transplantation in Latin America: reality and challenges

被引：8

作者：

Aguirre-Villarreal, David ^{[1
]}

Servin-Rojas, Maximiliano ^{[2
,3
,4
]}

Sanchez-Cedillo, Aczel ^{[5
]}

Chavez-Villa, Mariana ^{[6
]}

Hernandez-Alejandro, Roberto ^{[6
]}

Arab, Juan Pablo ^{[7
,8
]}

Ruiz, Isaac ^{[9
]}

Avendano-Castro, Karla P. ^{[10
]}

Matamoros, Maria A. ^{[11
]}

Adames-Almengor, Enrique ^{[12
]}

Diaz-Ferrer, Javier ^{[13
]}

Rodriguez-Aguilar, Erika Faride ^{[5
]}

Paez-Zayas, Victor Manuel ^{[5
]}

Contreras, Alan G. ^{[14
]}

Alvares-da-Silva, Mario R. ^{[15
]}

Mendizabal, Manuel ^{[16
]}

Oliveira, Claudia P. ^{[17
]}

Navasa, Miquel ^{[18
]}

Garcia-Juarez, Ignacio ^{[2
,3
,19
]}

机构：

[1] Inst Nacl Ciencias Med y Nutr, Dept Gastroenterol, Mexico City, Mexico

[2] Liver Transplant Unit, Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Mexico City, Mexico

[3] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Gastroenterol, Mexico City, Mexico

[4] Massachusetts Gen Hosp, Dept Surg, Boston, MA USA

[5] Hosp Gen Mex Dr Eduardo Liceaga, Dept Surg, Mexico City, Mexico

[6] Univ Rochester, Dept Surg, Div Transplantat & Hepatobiliary Surg, Med Ctr, Rochester, NY USA

[7] Western Univ & London Hlth Sci Ctr, Schulich Sch Med, Dept Med, Div Gastroenterol, London, ON, Canada

[8] Pontificia Univ Catolica Chile, Sch Med, Dept Gastroenterol, Santiago, Chile

[9] Ctr Hosp Univ Montreal CHUM, Dept Hepatol & Liver Transplantat, Montreal, PQ, Canada

[10] Hosp Monte Sinai, Dept Gastroenterol, Cuenca, Ecuador

[11] Ctr Trasplante Hepat & Cirugia Hepatobiliar, San Jose, Costa Rica

[12] Hosp Santo Tomas, Dept Internal Med & Gastroenterol, Panama City, Panama

[13] Hosp Nacl Edgardo Rebagliati, Dept Hepatol, Lima, Peru

[14] Intermt Transplant Clin, Transplant Surg, Salt Lake City, UT USA

[15] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, GI Liver Unit, Porto Alegre, Brazil

[16] Hosp Univ Austral, Unidad Higado & Trasplante Hepat, Pilar, Argentina

[17] Univ Sao Paulo, Fac Med, Dept Gastroenterol LIM07, Sao Paulo, Brazil

[18] Hosp Clin Barcelona, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Hepatol Serv, Liver Transplant Unit,IDIBAPS, Barcelona, Spain

[19] Av Vasco Quiroga 15,Col Belisario Dominguez Sect X, Mexico City 14080, Mexico

来源：

LANCET REGIONAL HEALTH-AMERICAS | 2023年 / 28卷

关键词：

Cirrhosis; Liver transplant; Latin America; MELD allocation; Extended criteria donor; Live donor; Split liver transplant; Normothermic machine perfusion; BILIARY COMPLICATIONS; ALLOCATION SYSTEM; SOCIAL-SECURITY; DISEASE; DONORS; MODEL; ARGENTINA; DONATION; MANAGEMENT; SELECTION;

D O I：

10.1016/j.lana.2023.100633

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Healthcare systems in Latin America are broadly heterogeneous, but all of them are burdened by a dramatic rise in liver disease. Some challenges that these countries face include an increase in patients requiring a transplant, insufficient rates of organ donation, delayed referral, and inequitable or suboptimal access to liver transplant pro-grams and post-transplant care. This could be improved by expanding the donor pool through the implementation of education programs for citizens and referring physicians, as well as the inclusion of extended criteria donors, living donors and split liver transplantation. Addressing these shortcomings will require national shifts aimed at improving infrastructure, increasing awareness of organ donation, training medical personnel, and providing equitable access to care for all patients.

引用

页数：13

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