Liver transplantation in Latin America: reality and challenges
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Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER
Autores
AGUIRRE-VILLARREAL, David
SERVIN-ROJAS, Maximiliano
SANCHEZ-CEDILLO, Aczel
CHAVEZ-VILLA, Mariana
HERNANDEZ-ALEJANDRO, Roberto
ARAB, Juan Pablo
RUIZ, Isaac
AVENDANO-CASTRO, Karla P.
MATAMOROS, Maria A.
ADAMES-ALMENGOR, Enrique
Citação
LANCET REGIONAL HEALTH-AMERICAS, v.28, article ID 100633, 13p, 2023
Resumo
Healthcare systems in Latin America are broadly heterogeneous, but all of them are burdened by a dramatic rise in liver disease. Some challenges that these countries face include an increase in patients requiring a transplant, insufficient rates of organ donation, delayed referral, and inequitable or suboptimal access to liver transplant pro-grams and post-transplant care. This could be improved by expanding the donor pool through the implementation of education programs for citizens and referring physicians, as well as the inclusion of extended criteria donors, living donors and split liver transplantation. Addressing these shortcomings will require national shifts aimed at improving infrastructure, increasing awareness of organ donation, training medical personnel, and providing equitable access to care for all patients.
Palavras-chave
Cirrhosis, Liver transplant, Latin America, MELD allocation, Extended criteria donor, Live donor, Split liver transplant, Normothermic machine perfusion
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