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한국에서의 뇌사자 신장이식의 대기시간 분석; 단일기관연구 / 이수형 외

9 보건의료 조회 수 211 추천 수 0 2018.05.11 10:37:40

도서관2 *.223.3.98 https://www.nibp.kr/xe/info4_3/118191

발행년 :	2012
구분 :	국내학술지
학술지명 :	大韓移植學會誌
관련링크 :	http://www.riss.kr/link?id=A60026403

한국에서의 뇌사자 신장이식의 대기시간 분석; 단일기관연구

= Original Articles : Waiting Time for Deceased Donor Kidney Allocation in Korea; A Single Center Experience

저자 [authors] 이수형 ( Su Hyung Lee ),허규하 ( Kyu Ha Huh ),이형순 ( Hyung Soon Lee ),김현정 ( Hyun Jung Kim ),김명수 ( Myoung Soo Kim ),주동진 ( Dong Jin Joo ),김순일 ( Soon Il Kim ),김유선 ( Yu Seun Kim )
학술지명[periodical name] 大韓移植學會誌
권호사항[Volume/Issue] Vol.26No.1[2012]
발행처[publisher] 대한이식학회
자료유형[Document Type] 학술저널
수록면[Pagination] 32-37
언어[language] Korean
발행년[Publication Year] 2012
KDC[Korean Decimal Classification] 514.2605
주제어[descriptor] 대기시간,신장 배분,뇌사장기기증자,Waiting time,Kidney allocation,Deceased donor

초록[abstracts]

[Background: The kidney recovery rate associated with deceased donors has increased after the establishment of the Korean Network for Organ Sharing (KONOS). And the KONOS organ allocation system gives priority to candidates affiliated with a Hospital based Organ Procurement Organization (HOPO) and/or donor recovery hospital. Regardless of whether or not this organ allocation system is fair, it can make an important impact on the waiting time for an organ transplant. Methods: A total of 157 deceased donor kidney transplantations were performed at Severance Hospital between January 2006 and April 2011. The recipients of these transplantations were retrospectively divided into five groups according to their allocation types; general allocation group (GA, n=54), HOPO priority group (HP, n=65), zero antigen mismatching group (ZM, n=23), marginal donor allocation group (MD, n=7), and the combined organ transplant allocation group (CT, n=8). The five groups were assessed in terms of their waiting time for organ allocation, cold ischemia time, and post-transplant graft outcome. Results: Mean waiting time for organ allocation of the HP group (69.5±27.4 months) was significantly shorter than for the GA group (90.0±34.0 months)( P<0.05). However, the degree of HLA mismatching was not different between each group. The cold ischemia time for the HP group (301.5±133.9 min) was significantly shorter than all other groups, except for the ZM group. There were no differences between groups in terms of acute rejection episodes, delayed graft function events or graft survival rates. Conclusions: Our retrospective analysis of the kidney allocation pattern showed that there were disparities in distribution by priority of allocation. We should make a consensus within the Korean transplant society in order to further develop the allocation system to decease donor kidney transplantation time.]

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