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First consensus document of waiting list prioritization for liver transplantation by the Spanish Society of Liver Transplantation (SETH)

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Název: First consensus document of waiting list prioritization for liver transplantation by the Spanish Society of Liver Transplantation (SETH)
Autoři: Mesa López, María José, Bilbao, Itxarone, Lladó Garriga, Laura, Cachero, Alba, Campos-Varela, Isabel, Colmenero, Jordi, Del Hoyo, Javier, Fábrega García, Emilio, García-Pajares, Félix, González Diéguez, Luis, González Grande, Rocío, Guiberteau Sánchez, Ana, Hernández Oliveros, Francisco, Herrero Santos, José Ignacio, Lorente, Sara, Martín Mateos, Rosa, Montero Álvarez, José Luis, Muñoz Codoceo, Carolina, Otero Ferreiro, Alejandra, Otón Nieto, Elena, Rodríguez Soler, María, Romero Cristóbal, Mario, Sastre Oliver, Lidia, Senosiain Labiano, María, Sousa Martín, José Manuel, Trapero-Marugán, María, Varo, Evaristo, Rosa, Gloria de la, Rodríguez Perálvarez, Manuel
Přispěvatelé: Institut Català de la Salut, [Bilbao I] Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Lladó L, Cachero A] Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Spain. [Campos-Varela I] Vall d’Hebron Hospital Universitari, Barcelona, Spain. CIBERehd, Barcelona, Spain. [Colmenero J] Hospital Clínic, IDIBAPS, CIBERehd, Barcelona, Spain. [del Hoyo J] Hospital Universitari i Politècnic La Fe, Instituto de Investigación Sanitaria La Fe, CIBERehd, Valencia, Spain, Vall d'Hebron Barcelona Hospital Campus
Zdroj: Scientia
Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname
REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
Instituto de Investigación Sanitaria La Fe (IIS La Fe)
Articles publicats en revistes (Ciències Clíniques)
Dipòsit Digital de la UB
Docusalut
Conselleria de Salut i Consum del Govern de les Illes Balears
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Informace o vydavateli: Sociedad Espanola de Patologia Digestiva (SEPD), 2024.
Rok vydání: 2024
Témata: Consensus, Tissue and Organ Procurement, Waiting Lists, Éssers humans, España, Waiting list, Decisió de grup, Consens (Ciències socials), Trasplantament hepàtic, Fetge - Trasplantació, Medicina - Societats, etc, Consensus (Social sciences), HEALTH CARE::Health Care Economics and Organizations::Organizations::Societies::Societies, Medical, Societies, Medical, Hospitals - Llistes d'espera, ATENCIÓN DE SALUD::administración de los servicios de salud::organización y administración::citas y programación::listas de espera, Human beings, Humans, PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso, Mortality, PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus, Liver transplantation, TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo::intervenciones quirúrgicas::intervenciones quirúrgicas::trasplante de hígado, Liver Transplantation* / statistics & numerical data, Gender, Equity, Humanos, Liver Transplantation, Spain, ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Digestive System Surgical Procedures::Surgical Procedures, Operative::Surgical Procedures, Operative::Liver Transplantation, ATENCIÓN DE SALUD::economía y organizaciones para la atención de la salud::organizaciones::sociedades::sociedades médicas, HEALTH CARE::Health Services Administration::Organization and Administration::Appointments and Schedules::Waiting Lists, Hepatic transplantation, Sociedades Médicas
Popis: Spain is worldwide leader in deceased donation rates per million habitants and count on a strong network of twenty-five liver transplant institutions. Although the access to liver transplantation is higher than in other countries, approximately 10% of patients qualifying for liver transplantation in Spain will die in the waiting list or would be excluded due to clinical deterioration. A robust waiting list prioritization system is paramount to grant the sickest patients with the first positions in the waiting list for an earlier access to transplant. In addition, the allocation policy may not create or perpetuate inequities, particularly in a public and universal healthcare system. Hitherto, Spain lacks a unique national allocation system for elective liver transplantation. Most institutions establish their own rules for liver allocation and only two autonomous regions, namely Andalucía and Cataluña, share part of their waiting list within their territory to provide regional priority to patients requiring more urgent transplantation. This heterogeneity is further aggravated by the recently described sex-based disparities for accessing liver transplantation in Spain, and by the expansion of liver transplant indications, mainly for oncological indications, in absence of clear guidance on the optimal prioritization policy. The present document contains the recommendations from the first consensus of waiting list prioritization for liver transplantation issued by the Spanish Society of Liver Transplantation (SETH). The document was supported by all liver transplant institutions in Spain and by the Organización Nacional de Trasplantes (ONT). Its implementation will allow to homogenize practices and to improve equity and outcomes among patients with end-stage liver disease.
Druh dokumentu: Article
Popis souboru: application/pdf
ISSN: 1130-0108
DOI: 10.17235/reed.2024.10639/2024
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39267491
https://hdl.handle.net/11351/12571
https://fundanet.iislafe.san.gva.es/publicaciones/ProdCientif/PublicacionFrw.aspx?id=22978
https://hdl.handle.net/2445/220341
https://hdl.handle.net/20.500.13003/21183
https://fundanet.isabial.san.gva.es/publicaciones/ProdCientif/PublicacionFrw.aspx?id=11153
Rights: CC BY NC ND
Přístupové číslo: edsair.doi.dedup.....934442a4fa59c54da0d866afc9b0c00b
Databáze: OpenAIRE
Popis
Abstrakt:Spain is worldwide leader in deceased donation rates per million habitants and count on a strong network of twenty-five liver transplant institutions. Although the access to liver transplantation is higher than in other countries, approximately 10% of patients qualifying for liver transplantation in Spain will die in the waiting list or would be excluded due to clinical deterioration. A robust waiting list prioritization system is paramount to grant the sickest patients with the first positions in the waiting list for an earlier access to transplant. In addition, the allocation policy may not create or perpetuate inequities, particularly in a public and universal healthcare system. Hitherto, Spain lacks a unique national allocation system for elective liver transplantation. Most institutions establish their own rules for liver allocation and only two autonomous regions, namely Andalucía and Cataluña, share part of their waiting list within their territory to provide regional priority to patients requiring more urgent transplantation. This heterogeneity is further aggravated by the recently described sex-based disparities for accessing liver transplantation in Spain, and by the expansion of liver transplant indications, mainly for oncological indications, in absence of clear guidance on the optimal prioritization policy. The present document contains the recommendations from the first consensus of waiting list prioritization for liver transplantation issued by the Spanish Society of Liver Transplantation (SETH). The document was supported by all liver transplant institutions in Spain and by the Organización Nacional de Trasplantes (ONT). Its implementation will allow to homogenize practices and to improve equity and outcomes among patients with end-stage liver disease.
ISSN:11300108
DOI:10.17235/reed.2024.10639/2024