CAS 系统对美国器官分配的影响：实施该系统。

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-10-28 DOI:10.1053/j.semtcvs.2024.09.004

Justin Cy Chan, Travis C Geraci, Stephanie H Chang

引用次数: 0

摘要

2023 年 3 月改用肺的连续分配和综合分配分数 (CAS)，旨在改善肺移植的机会，降低等待名单上的死亡率。实施后的早期数据显示，这一目标已经实现，在某些方面甚至超出了预期。在实施后的 6 个月内，等待名单上的死亡率下降了 31%，器官等待时间总体有所改善（减少了 14%）。儿科和年轻患者、敏感患者和非 O 组患者的等待时间有了明显改善。此外，少数种族和少数民族的器官公平分配情况也有所改善。这些益处并没有带来明显的负面结果，因为在大多数分组中，等候名单上的死亡率要么降低了，要么没有受到影响。这些变化的净效果是使器官移植率与整个受体库的移植率保持一致，促进了器官分配的公平性，与卫生与公众服务部《最终规则》中的器官分配原则保持一致。由于取消了器官捐献者的地域限制，器官捐献者的旅行次数增加，成本也可能随之增加。工作重点应放在提高器官获取的效率上。集中的捐献中心、当地器官获取外科医生的使用以及器官储存和运输设备的使用可能会降低相关成本并提高器官利用率。需要对 CAS 的实施效果进行持续监测，但早期经验表明，持续分配为肺移植候选者带来了净收益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Implications for the Composite Allocation Score System for Organ Distribution in the United States: Implementing the System.

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来源期刊

Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

5.80

自引率

0.00%

发文量

324

审稿时长

12 days

期刊介绍： Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.