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| 발행년 : | 2017 |
|---|---|
| 구분 : | 국내학술지 |
| 학술지명 : | 大韓移植學會誌 |
| 관련링크 : | http://www.riss.kr/link?id=A103047872 |
확장범주 신장이식의 국내 현황과 한국형 기준의 필요성
= Kidney Transplantation from Expanded Criteria Donor in Korea: It`s Time to Have Our Own Criteria Based on Our Experiences
- 저자[authors] 양신석 ( Shin-seok Yang ), 박재범 ( Jae Berm Park )
- 학술지명[periodical name] 大韓移植學會誌
- 권호사항[Volume/Issue] Vol.31No.1[2017]
- 발행처[publisher] 대한이식학회
- 자료유형[Document Type] 학술저널
- 수록면[Pagination] 16-24
- 언어[language] Korean
- 발행년[Publication Year] 2017
- 주제어[descriptor] Kidney transplantation, Brain death, Donor, Standards, Allografts, 신장이식, 뇌사, 기증자, 범주, 동종이식편
초록[abstracts]
[The disparity between the number of patients awaiting kidney transplantation (KT) on the list and the number of actual number of KT from deceased organ donation has become wider despite the recent increase in the number of donations. Moreover, the proportion of donors aged 60 or more has rapidly increased. KT from expanded criteria donor (ECD) has been not only been necessary, but also inevitable with respect to maximizing the use of this scarce organ resource. However, we still use the “marginal donor criteria” implemented in 2000 when KONOS (Korean Network for Organ Sharing) was established. In the Korean transplantation environment, this “marginal donor criteria” does not have the power to predict graft outcome, and fails to discern grafts with inferior transplant outcomes from successful transplants. As a result, it does not meet the role of the criteria in Korea. Therefore, we should develop our own criteria based on our deceased donor kidney transplantation experience. Here, we review the current status of ECD KT in Korea in context with the progression of the ECD criteria system in UNOS (United Network for Organ Sharing) and present some considerations for the Korean donor criteria system.]
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