OPTN 快速工作组:提高器官利用率和效率,推动美国实体器官移植的转型发展。

IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY
Alden Doyle, David Marshman
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引用次数: 0

摘要

器官移植网络(OPTN)快速工作组(ETF)的构想和发起是为了满足快速行动的需要,以在全美范围内大幅扩大成功的死亡供体移植手术。ETF 利用按管理移植量成功增长能力排名前 20% 的移植项目的数据,提出了一个大胆的目标,即到 2026 年促成 60,000 例成功移植手术,以挽救更多生命。为了实现这一变革性增长,ETF 将采用数据驱动的方法,与整个移植系统的主要利益相关者合作,以获得承诺、减少障碍、获取数据、调整指标、评估新技术,并进行短期试验,为未来的政策制定提供更好的信息。为了实现这一增长,ETF 的两个主要目标是提高系统效率以及改善器官和捐赠者的利用率。最初的 ETF 工作流将集中在 6 个领域,包括评估器官未被利用(捐献者同意捐献但器官未被回收)和未被使用(器官被回收但未被移植)的情况,促进社区活动以应对利用和效率方面的挑战;主办移植发展合作会议,重点确保转型发展所需的资源;创建增强患者能力的工具;评估 OPTN 政策以消除障碍;以及为面临未被使用风险的器官设计抢救路径的短期试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The OPTN Expeditious Task Force: Improved Organ Utilization and Efficiency to Drive Transformational Growth in Solid Organ Transplant in the United States.

The Organ Procurement and Transplant Network (OPTN) Expeditious Task Force (ETF) was conceived and initiated in response to a need to move quickly to greatly expand successful deceased-donor transplant across the United States. The ETF, using data from the top 20% of transplant programs ranked by ability to manage successful growth in transplant volume, came up with a bold aim of facilitating 60,000 successful transplants by 2026 to save more lives. In order to achieve this transformational growth, the ETF will use a data-driven approach, partnering with key stakeholders across the transplant system to secure commitments, reduce barriers, obtain data, align metrics, evaluate new technologies, and run short trials that will better inform future policy developments. To achieve this growth, the 2 primary aims of the ETF are increasing system efficiency and improving organ and donor utilization. The initial ETF work streams will focus on 6 areas: (1) assessments of organ nonutilization (where donors are consented but organs not recovered) and nonuse (where organs are recovered but not transplanted), (2) facilitating community events to address challenges in utilization and efficiency, (3) hosting transplant growth collaboratives focused on securing resources needed for transformational growth, (4) creating tools for patient empowerment, (5) evaluating OPTN policies to remove barriers, and (6) designing short trials of rescue pathways for organs at risk for nonuse.

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来源期刊
American Journal of Kidney Diseases
American Journal of Kidney Diseases 医学-泌尿学与肾脏学
CiteScore
20.40
自引率
2.30%
发文量
732
审稿时长
3-8 weeks
期刊介绍: The American Journal of Kidney Diseases (AJKD), the National Kidney Foundation's official journal, is globally recognized for its leadership in clinical nephrology content. Monthly, AJKD publishes original investigations on kidney diseases, hypertension, dialysis therapies, and kidney transplantation. Rigorous peer-review, statistical scrutiny, and a structured format characterize the publication process. Each issue includes case reports unveiling new diseases and potential therapeutic strategies.
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