Organ Transplantation in Greece

Moris, Demetrios; Menoudakou, Georgia; Zavos, G.

doi:10.1097/tp.0000000000001349

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The current study has used more liberal selection criteria in the surgical management of patients with HCC. Liver resection has been applied at the early stage as Greece is a country where organ availability for liver transplantation is limited [ 49 , 50 ]. It has also been applied for HCCs in intermediate and advanced stages, in 29% of the cohort of patients, providing satisfactory long-term survival and good quality of life.…”

Section: Discussionmentioning

confidence: 99%

Individualized Approach in the Surgical Management of Hepatocellular Carcinoma: Results from a Greek Multicentre Study

Glantzounis

Korkolis

Sotiropoulos

et al. 2022

Cancers

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Background: Hepatocellular carcinoma (HCC) is the most common primary liver cancer and the third leading cause of death worldwide. The management of HCC is complex, with surgical treatment providing long-term survival in eligible patients. This study aims to present the experience of aggressive surgical management of HCC in Greece. Methods: This is a retrospective multicentre clinical study with 242 patients. Results: Most patients were male (79%) and had a median age of 71 yrs. According to the most recent BCLC criteria, 172 patients (71.1%) were classified as BCLC 0-A stage, 33 patients (13.6%) were classified as BCLC B, and 37 (15.3%) were classified as BCLC C. A total of 54% of the patients underwent major hepatectomy. Major postoperative morbidity was 15.6%, and the 90-day postoperative mortality rate was 4.5%. The median follow-up was 33.5 months. Three- and five-year overall survival was 65% and 48%, respectively. The median overall survival was 55 months. Significantly, five-year survival was 55% for BCLC A, and 34% and 21% for BCLC B and C, respectively. In univariate analysis, cirrhosis, type of resection (R status), and BCLC stage were associated with overall survival. Multivariate analysis indicated that R1 and R2 resections compared to R0, and BCLC C compared to BCLC 0-A, were independently associated with increased mortality. Conclusions: Aggressive surgical treatment of HCC offers satisfactory long-term survival prospects. A significant percentage (29%) of HCCs that underwent liver resection were of the intermediate and advanced BCLC stage. The management of patients with HCC should be discussed in multidisciplinary tumour board meetings on a case-by-case basis to be more effective.

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Section: Discussionmentioning

confidence: 99%

Individualized Approach in the Surgical Management of Hepatocellular Carcinoma: Results from a Greek Multicentre Study

Glantzounis

Korkolis

Sotiropoulos

et al. 2022

Cancers

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“…Moreover, crisis had major impact on the provision of services in public and university hospital units (5,13) in a way that several closures of healthcare units have occurred which at first seems to contribute to the rationalization of the facilities and human resources but also directs patients to larger hospital units which are unprepared to take that burden.…”

Section: Discussionmentioning

confidence: 99%

“…Reductions in public expenditure were of the cornerstones of the programs and the Greek National Health System (GNHS) could not be excluded from these measures (from 10% to 6% of annual GDP). The GNHS has had long identified problems which appear now augmented due to the current economic situation (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

The effect of financial crisis on the profile of the patients examined at the surgical emergencies of an academic institution in Greece

et al. 2017

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“…Παιδιά άνω των 14 ετών εγγράφονται και έχουν προτεραιότητα στη λίστα νεφρών ενηλίκων, ενώ παιδιά κάτω των 14 ετών παραπέμπονται σε κέντρα του εξωτερικού. Όλα τα προγράμματα μεταμοσχεύσεων είναι δημόσια και δεν έχει εκδοθεί άδεια μεταμόσχευσης στον ιδιωτικό τομέα υγείας [5].…”

Section: γενικοί όροιunclassified

Η “Βιομηχανία” Της Δωρεάς Οργάνων

Nikolopoulos¹

2022

OSJ

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Η δωρεά οργάνων στην Ελλάδα βρίσκεται τα τελευταία χρόνια σε κρίση. Στην Ε.Ε κατέχει μία από τις τελευταίες θέσεις στις δωρεές οργάνων και ιστών. Άνθρωποι περιμένουν χρόνια για μια μεταμόσχευση και πολλοί πεθαίνουν στην αναμονή. Υπάρχει τεράστια έλλειψη προσωπικού ενώ δεν υπάρχουν κατάλληλες μονάδες για την μεταμόσχευση ορισμένων οργάνων με αποτέλεσμα οι Έλληνες να πρέπει να φεύγουν στο εξωτερικό. Όλα τα παραπάνω έχουν ως αποτέλεσμα την τεράστια επιβάρυνση του Δημοσίου ύψους αρκετά άνω του μισού δισεκατομμυρίου για την περίθαλψη των ατόμων αυτών, χωρίς σε αυτό να υπολογίζονται και τα πιθανά χρήματα που θα μπορούσε να λαμβάνει ως φόρο από την εργασία των ατόμων αλλά και από την κατανάλωση αγαθών. Έτσι δημιουργείται η ανάγκη για να βρεθούν λύσεις πάνω στις οποίες θα μπορούσε να στηριχτεί ένα σύστημα, το οποίο σε βάθος χρόνων θα μπορέσει να μειώσει και ίσως να εξαλείψει το πρόβλημα.

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Organ Transplantation in Greece

Cited by 5 publications

References 8 publications

Individualized Approach in the Surgical Management of Hepatocellular Carcinoma: Results from a Greek Multicentre Study

Individualized Approach in the Surgical Management of Hepatocellular Carcinoma: Results from a Greek Multicentre Study

The effect of financial crisis on the profile of the patients examined at the surgical emergencies of an academic institution in Greece

Η “Βιομηχανία” Της Δωρεάς Οργάνων

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