Liver transplantation in Latin America: reality and challenges
Summary: 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 ineq...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X23002077 |
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| author | David Aguirre-Villarreal Maximiliano Servin-Rojas Aczel Sánchez-Cedillo Mariana Chávez-Villa Roberto Hernandez-Alejandro Juan Pablo Arab Isaac Ruiz Karla P. Avendaño-Castro Maria A. Matamoros Enrique Adames-Almengor Javier Diaz-Ferrer Erika Faride Rodriguez-Aguilar Victor Manuel Paez-Zayas Alan G. Contreras Mario R. Alvares-da-Silva Manuel Mendizabal Claudia P. Oliveira Miquel Navasa Ignacio García-Juárez |
| author_facet | David Aguirre-Villarreal Maximiliano Servin-Rojas Aczel Sánchez-Cedillo Mariana Chávez-Villa Roberto Hernandez-Alejandro Juan Pablo Arab Isaac Ruiz Karla P. Avendaño-Castro Maria A. Matamoros Enrique Adames-Almengor Javier Diaz-Ferrer Erika Faride Rodriguez-Aguilar Victor Manuel Paez-Zayas Alan G. Contreras Mario R. Alvares-da-Silva Manuel Mendizabal Claudia P. Oliveira Miquel Navasa Ignacio García-Juárez |
| author_sort | David Aguirre-Villarreal |
| collection | DOAJ |
| description | Summary: 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 programs 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. |
| first_indexed | 2024-03-10T23:30:02Z |
| format | Article |
| id | doaj.art-bb7acac37c2c4f81b0a883aba4be6722 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-03-10T23:30:02Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-bb7acac37c2c4f81b0a883aba4be67222023-11-19T04:35:41ZengElsevierThe Lancet Regional Health. Americas2667-193X2023-12-0128100633Liver transplantation in Latin America: reality and challengesDavid Aguirre-Villarreal0Maximiliano Servin-Rojas1Aczel Sánchez-Cedillo2Mariana Chávez-Villa3Roberto Hernandez-Alejandro4Juan Pablo Arab5Isaac Ruiz6Karla P. Avendaño-Castro7Maria A. Matamoros8Enrique Adames-Almengor9Javier Diaz-Ferrer10Erika Faride Rodriguez-Aguilar11Victor Manuel Paez-Zayas12Alan G. Contreras13Mario R. Alvares-da-Silva14Manuel Mendizabal15Claudia P. Oliveira16Miquel Navasa17Ignacio García-Juárez18Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, MexicoLiver Transplant Unit and Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico; Department of Surgery, Massachusetts General Hospital, Boston, MA, USADepartment of Surgery, Hospital General de Mexico Dr. Eduardo Liceaga, Ciudad de Mexico, MexicoDivision of Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USADivision of Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USADivision of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University & London Health Sciences Centre, London, Ontario, Canada; Departament of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Hepatology and Liver Transplantation, Centre Hospitalier de l’Université de Montréal (CHUM), CanadaDepartment of Gastroenterology, Hospital Monte Sinai, Cuenca, EcuadorCentro de Trasplante Hepatico y Cirugía Hepatobiliar, San Jose, Costa RicaDepartment of Internal Medicine and Gastroenterology, Hospital Santo Tomas, PanamaDepartment of Hepatology, Hospital Nacional Edgardo Rebagliati, Lima, PerúDepartment of Surgery, Hospital General de Mexico Dr. Eduardo Liceaga, Ciudad de Mexico, MexicoDepartment of Surgery, Hospital General de Mexico Dr. Eduardo Liceaga, Ciudad de Mexico, MexicoTransplant Surgery, Intermountain Transplant Clinic, Salt Lake City, UT, USAGI/Liver Unit, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilUnidad de Hígado y Trasplante Hepático, Hospital Universitario Austral, Pilar, ArgentinaDepartment of Gastroenterology (LIM07), Faculdade de Medicina, Universidade de São Paulo, São Paulo, BrazilLiver Transplant Unit, Hepatology Service, Hospital Clínic de Barcelona, IDIBAPS, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, SpainLiver Transplant Unit and Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico; Corresponding author. Av. Vasco de Quiroga #15, Col. Belisario Dominguez Sector XVI, PC 14080, Tlalpan, Mexico City, Mexico.Summary: 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 programs 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.http://www.sciencedirect.com/science/article/pii/S2667193X23002077CirrhosisLiver transplantLatin AmericaMELD allocationExtended criteria donorLive donor |
| spellingShingle | David Aguirre-Villarreal Maximiliano Servin-Rojas Aczel Sánchez-Cedillo Mariana Chávez-Villa Roberto Hernandez-Alejandro Juan Pablo Arab Isaac Ruiz Karla P. Avendaño-Castro Maria A. Matamoros Enrique Adames-Almengor Javier Diaz-Ferrer Erika Faride Rodriguez-Aguilar Victor Manuel Paez-Zayas Alan G. Contreras Mario R. Alvares-da-Silva Manuel Mendizabal Claudia P. Oliveira Miquel Navasa Ignacio García-Juárez Liver transplantation in Latin America: reality and challenges The Lancet Regional Health. Americas Cirrhosis Liver transplant Latin America MELD allocation Extended criteria donor Live donor |
| title | Liver transplantation in Latin America: reality and challenges |
| title_full | Liver transplantation in Latin America: reality and challenges |
| title_fullStr | Liver transplantation in Latin America: reality and challenges |
| title_full_unstemmed | Liver transplantation in Latin America: reality and challenges |
| title_short | Liver transplantation in Latin America: reality and challenges |
| title_sort | liver transplantation in latin america reality and challenges |
| topic | Cirrhosis Liver transplant Latin America MELD allocation Extended criteria donor Live donor |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X23002077 |
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