Obstacles to the deceased donor transplantation in Pakistan.

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Kaleem Ullah, Abdul Wahab Dogar, Sidhant Ochani, Azam Shoaib, Hussain Haider Shah, Mohammad Ebad Ur Rehman
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引用次数: 0

Abstract

Introduction: Transplantation in many Asian countries is moulded by socioeconomic, religious, cultural and health indicators. In most Asian countries, the living-related donation is the common most organ donation. Due to the limited deceased organ donation, live donor programmes flourished in many Asian countries. Another apparent reason for this tremendous growth of living-related programmes in Asian countries is their larger serving population. Several centres from Asia, including Pakistan and India from Southeast Asia and Egypt in Middle East Asia, on the one hand, have recently emerged as leading living donor transplant programmes. On the other hand, a few Asian countries, including Iran and China, have established some of the world's largest deceased donor programmes.

Discussion: In Pakistan, thousands of patients die from end-stage organ failure annually, seeking organ transplants for survival. The exact statics are not available, but over 50 000 people are estimated to die each year as a result of end-stage organ failure without getting a transplant, about 15 000-18 000 from kidney failure, and 10 000 from liver failure and the National Centre for Health Statistics labelled organ failure as a leading cause of death. Despite all these efforts, the knowledge of organ donation among Pakistani people was determined to be around 60%. In Pakistan, the lack of deceased organ donation programmes and the unwillingness of people to deceased organ donation contributes to an increased demand for living organ donation and patients continue to rely on living donors. We discuss various obstacles to deceased organ donation comprising various challenges that form a unique combination, including religious, economic, social, demographic and political factors.Conclusion: Every single effort should be made to initiate and establish multiple deceased donor programmes in Pakistan. Developing the deceased donor programmes in the country will be vital to counter the countrywide increasing organ shortage. The mainstay transplant activities like organ procurement and distribution systems need to be adequately developed. It will help achieve national self-sufficiency and decrease living donors' burden. With education, the behaviour of healthcare professionals and common people can be changed and a positive attitude toward deceased organ donation can be obtained. As healthcare professionals, we should come forward and take responsibility by enrolling ourselves in deceased donors' registration. Public awareness, medical community interest and government support are essential in initiating and establishing deceased donor programmes in Pakistan.

巴基斯坦死亡供体移植的障碍。
导言:移植在许多亚洲国家是由社会经济、宗教、文化和健康指标决定的。在大多数亚洲国家,亲属捐赠是最常见的器官捐赠。由于死者器官捐献有限,活体捐献计划在许多亚洲国家蓬勃发展。亚洲国家与生活有关的方案大幅增长的另一个明显原因是它们的服务人口较多。亚洲的几个中心,包括东南亚的巴基斯坦和印度以及中东的埃及,最近已成为主要的活体供体移植方案。另一方面,包括伊朗和中国在内的一些亚洲国家,已经建立了一些世界上最大的遗体捐赠计划。讨论:在巴基斯坦,每年有成千上万的患者死于终末期器官衰竭,寻求器官移植来生存。虽然没有确切的统计数据,但估计每年有5万多人死于未接受移植的终末期器官衰竭,约1.5万至1.8万人死于肾衰竭,1万人死于肝功能衰竭,国家卫生统计中心将器官衰竭列为死亡的主要原因。尽管做出了这些努力,但巴基斯坦人对器官捐赠的了解程度确定在60%左右。在巴基斯坦,由于缺乏死者器官捐赠规划和人们不愿意捐献死者器官,导致对活体器官捐赠的需求增加,患者继续依赖活体捐赠者。我们讨论了死者器官捐赠的各种障碍,包括形成独特组合的各种挑战,包括宗教,经济,社会,人口和政治因素。结论:应尽一切努力在巴基斯坦发起和建立多个已故捐助者方案。在该国制定死者捐献方案对于解决全国范围内日益严重的器官短缺问题至关重要。器官采购和分配系统等主要移植活动需要得到充分发展。它将有助于实现国家自给自足并减轻在世捐助者的负担。通过教育,可以改变医护人员和普通民众的行为,使他们对捐献死者器官持积极态度。作为医护专业人士,我们应该挺身而出,承担起责任,参与死者捐献登记。在巴基斯坦,公众意识、医学界的兴趣和政府的支持对于启动和建立已故捐赠者方案至关重要。
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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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