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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 112 - 117 (6page)
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초록· 키워드
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Background: The Korean model for end-stage liver disease (MELD) score-based liver allocation system was started in June 2016 in Korea. Methods: This study analyzed the detailed allocation results of deceased donor liver transplantation (DDLT) during the first 2 years after the MELD score-based liver allocation system implementation at a high-volume liver transplantation (LT) center in Korea. Results: This study included 174 patients with age above 12 years. The patient ABO blood groups were A (n=65, 37.4%), B (n=51, 29.3%), O (n=28, 16.1%), and AB (n=30, 17.2%). The LT types were primary LT in 141 patients (81.0%) and retransplantation in 33 (19.0%). The Korean Network for Organ Sharing status categories at LT were as follows: status 1 (n=11, 6.3%), status 2 (n=82, 47.1%), status 3 (n=63, 36.2%), and status 4 (n=18, 10.3%). The mean MELD score at LT and waiting period were 36.6±4.6 and 62.1±98.2 days in blood group A; 37.6±3.6 and 25.7±38.1 days in blood group B; 38.8±2.7 and 26.0±30.5 days in blood group O; and 34.8±5.5 and 68.4±110.5 days in blood group AB (P＜0.001 and P=0.012), respectively. Patients with blood group O and AB had the highest and lowest mean MELD scores at LT allocation, respectively. Conclusions: Serious deceased organ donor shortage resulted in very high MELD score cutoffs for DDLT allocation. Additionally, a significant inequality was observed in the possibility for DDLT according to blood group compatibility. Nationwide follow-up studies are necessary to precisely determine the allocation status of DDLT.
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등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
R.Randal Bollinger / 2004 / Organ Allocation for Transplantation in the USA and Korea: The Changing Roles of Equity and Utility / Yonsei Medical Journal 45(6):1035~1042
Hwang S / 2013 / Survival rates among patients awaiting deceased donor liver transplants at a single high-volume Korean center / Transplant Proc 45:2995~2996
Min SI / 2015 / To achieve national self-sufficiency: recent progresses in deceased donation in Korea / Transplantation 99:765~770
Lee SG / 2015 / Liver transplantation in Korea: past, present, and future / Transplant Proc 47:705~708
Jung BH / 2015 / Updated status of deceased-donor liver graft allocation for high-urgency adult patients in a Korean high-volume liver transplantation center / Transplant Proc 47:580~583
Hwang S / 2013 / Survival rates among patients awaiting deceased donor liver transplants at a single high-volume Korean center / Transplant Proc 45:2995~2996
Min SI / 2015 / To achieve national self-sufficiency: recent progresses in deceased donation in Korea / Transplantation 99:765~770
Lee SG / 2015 / Liver transplantation in Korea: past, present, and future / Transplant Proc 47:705~708
Jung BH / 2015 / Updated status of deceased-donor liver graft allocation for high-urgency adult patients in a Korean high-volume liver transplantation center / Transplant Proc 47:580~583
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