Lub koom haum Organ Procurement Organization (OPO)?

LifeSource Nws yog ib tug ntawm 58 Organ Procurement Organizations (OPOs) muab rau neeg noj lub teb chaws thiab sawv cev rau ib tug nam ntawm lub cev kev kho mob. Cov zej zog kuas, cov koom haum uas tsis yog-nyiaj koom haum yog tsim los ntawm tsoom fwv teb chaws los rov qab organs los ntawm deceased hloov rau transplantation. Xwb, lawv yog lub koom haum xwb them uas tej lub luag hauj lwm. Txij thaum lub creation ntawm tus QAUV OPO qauv hauv lub mus-1980s, teb chaws Asmeskas tau tsim ib lub nruab zoo tshaj plaws ntawm donor identification, tso cai, rov qab thiab ua kom sib haum nyob hauv lub ntiaj teb.

Qhov chaw ua hauj lwm ntawm OPOs kuj muaj xws li kev pab txhawb rau tsev neeg, Cov kev tswj tuag lawm hloov, in-service thiab kev kawm ntawv ntawm tsev kho mob, pej xeem kev kawm ntawv thiab hloov sau npe, ntaub so ntswg thiab cornea donation thiab cov rov qab uas tsis yog-transplantable organs thiab cov ntaub so ntswg rau kev tshawb fawb.

OPOs yog tseem ceeb heev rau lub txiv kab ntxwv transplant lawv uas kaum tawm txhiab tus neeg nyob ntawm txhua xyoo muab lub neej-txuag transplant lawv thiaj li desperately xav tau. Vim li no, nws tseem ceeb heev uas yuav tsum paub txog qhov kev kawm mus tsis tu ncua ntawm peb donation lawv thiab mus ntxiv advocating rau lawv hloov mus txhawb txoj kev txhim kho.

Lub kaw lus uas muaj nuj nqi

Thaum 2013 thiab 2019, Organ Procurement Organizations ntau zog organ donation los ntawm 44% nyob hauv teb chaws As Mes Lis Kas, ib tseeb indication tias lawv yog continually txhim kho.

Lub sij hawm no tib lub sijhawm, organ transplants ntau zog thiab pes tsawg tus neeg tuag rau lub teb chaws transplant teev sib downward. OPOs kuas nyuas siv zug maximizing txhua tau donation caij nyoog los ntawm kev tso cai rau donation, tswj lub donor, facilitating lub txiv kab ntxwv rov qab, thiab thauj organs rau transplant centers.

Ntxiv thiab, cov ntaub ntawv tsis ntev los no nyob rau ntawm phau ntawv Journal of American Medical Association qhia tau hais tias cov kev kawm ntawm Teb Chaws Asmeskas organ procurement lawv yog cov zoo tshaj plaws nyob hauv lub ntiaj teb uas 43 saum 50 ua thoob ntiaj teb jurisdictions – thiab 9 ntawm lub sab saum toj 10 performers – yog teb chaws Asmeskas lub xeev. Piv U.S. thiab cov teb chaws Europe ntaub ntawv los ntawm lub ntiaj teb no Observatory rau Donation thiab Transplantation thiab UNOS qha tau dua qhov kev kawm ntawm Teb Chaws Asmeskas OPO thiab transplant lawv.

Noj ua ke, cov ntaub ntawv qha tau zoo kawg thiab strengths nyob rau hauv cov qauv tam sim no ntawm regionally kuas Organ Procurement Organizations nrog kev koom tes ties rau lawv cheeb tsam transplant centers thiab hloov tsev kho mob.

Donation tseem nyob rau lub public Health Ntsoog

Lub koom haum Organ Procurement Organization lawv yog highlighted feem ntau tsis ntev los no thaum lub SIVID-19 ntsoog thaum OPOs – xws li ntau lwm qhov chaw hauv lub cev kev kho mob – muag ib multitude ntawm complicating yam uas ua rau lawv ua hauj lwm ho nyuaj. Dua li ntawm ntau txwv mus saib rau tsev kho mob ICUs, tsawg dua nyob rau hauv cov rooj sib tham nrog tsev neeg thiab ntau lwm yam hurdles, lub zej zog OPO tswj nws coj ntiaj teb coj. Qhov tseeb, qhov twg raws li tej tiag tuag donation tau txiav los ntawm upwards ntawm 90%, lub teb chaws As Mes Lis Kas OPO lawv tej lub sij hawm luv luv txo hauv organ hloov ntawm kwv yees li ntawm 38% thiab rebounded sai sai ua ntej COVID theem.

Thaum ib hom kev noj qab haus huv ntsoog, uas yog tus opioid overdose epidemic, OPOs sai nrhiav tau cov pej xeem kev siv thiab ua hauj lwm los tsim tseeb pathways rau tej hloov thiab ua rau lub transplant lawv qhib siv organs los ntawm cov hloov no. Vim li ntawd, dhau tsib xyoos tas los no, tshaj 6,500 tsev neeg ntawm overdose neeg raug dag hais tau nrhiav solace hauv donation thiab ze li ntawm 21,400 transplant neeg tau txais cov khoom plig ntawm lub neej. Thaum ib qho nce rau hauv hloov ntawm overdose yog feem ntau lub luag hauj lwm rau lub xyoo tsis ntev los no nce rau donation, nws tseem ceeb heev uas txawm tsis tuaj nce rau overdose tuag donation, cov-overdose tuag donation nqi kuj ntau zog.

No foundation ntawm kev thiab kev txawj ntse muaj forged ib lub zej zog ntawm organ procurement professionals nyob rau hauv OPOs nrog cov dedication thiab kev txawj ntse rau qhov xav tau ntawm cov neeg uas await transplant.

Innovation yuav txo tau daim ntawv tos

Muaj coob tus neeg tseem awaiting transplant, Nws yog incumbent raws li tus tseem ceeb stakeholders nyob rau hauv cov donation thiab transplant zej zog ua hauj lwm ua ke mus align peb txheej txheem kev txhim kho thiab tau txais cov kev ntsuas uas yuav ua rau ntau donation txuj, ntxiv lub neej-txuag transplants thiab zoo transplant kev ua tau. Cov tseem ceeb tshaj plaws yog:

Adopt More And Useful OPO Kev Kawm Metrics: Organ Procurement Organization coj thiab lwm donation thiab transplant advocates yog hu raws li teb chaws Asmeskas Department of Health and Human Services los tsim ntau lub ntsiab lus, ywj siab qhia metrics kom muaj kev cuam tshuam cov kev kawm ntawm OPOs thiab tsim nyog kho rau tej yam tseem ceeb heev li hnub nyoog, ua rau tuag thiab uas nyiaj rau extenuating muaj tshwm sim (xws li cov COVID-19 pandemic). Zoo tuaj metrics yuav tsum tau lub sij hawm thiab granular txaus qhia thiab txhawb continuous txhim kho thiab ntau zog donation. Tus tshiab metrics yuav tsum pub dawb los paub Cov ntaub ntawv ntseeg txog tej teeb meem xws li cov neeg plague datasets nyob ntawm tus tuag certificnoj thiab lwm yam lus nug. Lub zej zog OPO txhawb tus neeg sab nraud electronic qhia txog cov ntaub ntawv raws li tus txheem kub txheem rau donation metrics.

Txhawb txoj kev siv organs los ntawm cov laus thiab ntau complex Hloov: Txhua xyoo, txhiab tus txiv kab ntxwv yog tso cai thiab zoo tu qab tso los ntawm OPOs uas tsis yog suitable rau transplant los ntawm teb chaws Asmeskas surgical xyaum. Txawm li ntawd los, muaj ntau yam kabmob no yog tsim nyog rau transplant los ntawm lwm cov tiag cov kev kho mob. Zoo aligned ntxawg incentives hla lub OPO thiab transplant lawv yuav ua rau muaj ntau dua utilization ntawm organs ntawm Donation tom qab Circulatory tuag hloov, hloov cov hnub nyoog thiab hloov nrog ntau txoj nqi morbidities.

Txhab siv Ex Vivo Perfusion thiab preservation: Kev kho mob hauv lub perfusion, thauj thiab preservation ntawm donor organs tau ua nws tau npaj lub pas dej ua ke ntawm hloov uas ib lub txiv kab ntxwv zoo rov qab thiab transplant yuav tau ua. Ua hauj lwm ua ke, transplant centers, OPOs thiab regulators yuav tau txais kev pab ntawm cov li no li thiab dramatically txhim kho cov kev ua hauj lwm ntawm tej yam pub organs, ua rau ntau thiab zoo transplant kev ua tau.