Does splitting the lung block into two single lung grafts equate to doubling the societal benefit from bilateral lung donors? Comparisons between two single versus one bilateral lung transplant. UK Cardiothoracic Transplant Audit Steering Group.
Multi-organ thoracic transplantation, although beneficial to one recipient, has an opportunity cost of denied transplants to others. This paper compares population based outcomes of splitting lung blocks for two single lung transplants compared to doing one bilateral lung transplant, and suggests that the benefit of splitting lung blocks may not necessarily be double that of using each block for one recipient.
Anyanwu
A C
AC
Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, United Kingdom.
Rogers
C A
CA
Murday
A J
AJ
D000206:Actuarial Analysis; D002102:Cadaver; D002423:Cause of Death; D018572:Disease-Free Survival; D006084:Graft Rejection / Q000453:epidemiology; D006085:Graft Survival; D006801:Humans; D016040:Lung Transplantation / Q000379:methods / Q000502:physiology / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation; D012189:Retrospective Studies; D014019:Tissue Donors / Q000600:supply & distribution*; D020858:Tissue and Organ Harvesting / Q000379:methods; D016896:Treatment Outcome; D006113:United Kingdom