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Böbrek Naklinin Global Rolü

The Global Role of Kidney Transplantation

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DOI: 
DOI 10.5262/tndt.2012.1001.01
Abstract (2. Language): 
World Kidney Day on March 8th 2012 provides a chance to reflect on the success of kidney transplantation as a therapy for end stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost effectiveness. Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end stage kidney disease include the economic limitations which, in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation and vaccination. Even in high income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental and political environments. World Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit.
Abstract (Original Language): 
8 Mart 2012 tarihindeki Dünya Böbrek Günü böbrek naklinin son dönem böbrek hastalığında hem sağladığı yaşam kalitesi, hem miktarı, hem de maliyet etkinliği açısından diyaliz tedavilerinden daha iyi olan bir tedavi olarak başarısını düşünme fırsatı yaratmaktadır. Daha ucuz ve daha iyi olan ama aslında dominant tedavi olmayan her tedavide olduğu gibi diyaliz tedavisinin yerini naklin almasını önleyen başka sakıncaları olmalıdır. Son dönem böbrek hastalığı için tedavi olarak evrensel nakle engeller arasında bazı ülkelerde uygun olarak naklin temiz su, temizlik ve aşılama gibi kamu sağlığı temellerinden daha düşük öncelik almasına neden olan mali sınırlamalar vardır. Yüksek gelire sahip ülkelerde bile cerrahinin teknik zorlukları ve immünsüpresyonun sonuçları uygun alıcı sayısını sınırlar ama böbrek nakli oranlarındaki esas sınırlamalar bağışlanan organların kısıtlı sayısı ve gerekli uzmanlığa sahip sınırlı tıbbi, cerrahi ve hemşirelik işgücüdür. Bu problemlerin sosyal, mesleki, idari ve politik ortamların tümünü ilgilendiren çözümleri vardır. Dünya Böbrek Günü, faydalanma hakkı olan yılda bir milyon kişiye nakil tedavisi sağlamak için bir çağrıdır.
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