Lung transplantation outcome changes from the new US lung allocation system

Gordon E Carr, Edward R. Garrity

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In 2005, the US lung transplant community made important changes to its approach to organ allocation. Before May 2005, priority was determined by time on the waiting list. Since May 2005, priority has been assigned based on the Lung Allocation Score (LAS). A composite of estimated risk and survival benefit, the LAS provides a more objective basis for lung allocation. The LAS system has led to reduced wait-list mortality and shorter wait times. However, transplant mortality seems to be unchanged. The effect of the LAS on overall efficiency is not clear. With regard to equity, the conclusions are mixed, and an unintended outcome of the LAS may be the trend toward transplanting sicker patients who are less likely to survive. The LAS was intended to be dynamic, and further research should focus on the value of LAS with regard to predicting survival and prioritizing resource allocation.

Original languageEnglish (US)
Pages (from-to)39-43
Number of pages5
JournalClinical Pulmonary Medicine
Volume19
Issue number1
DOIs
StatePublished - Jan 2012
Externally publishedYes

Fingerprint

Lung Transplantation
Lung
Transplants
Waiting Lists
Survival
Resource Allocation
Mortality

Keywords

  • lung allocation score
  • lung transplantation
  • outcomes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Lung transplantation outcome changes from the new US lung allocation system. / Carr, Gordon E; Garrity, Edward R.

In: Clinical Pulmonary Medicine, Vol. 19, No. 1, 01.2012, p. 39-43.

Research output: Contribution to journalArticle

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