Effects of lung allocation score on waiting list rankings and transplant procedures.
The effect of the new lung allocation score on ranking of patients on the waiting list and the number of transplants performed is not known. We assessed this effect on our lung transplant program and conducted a simulation of lung transplants for the first few months of the new system, using the old waiting lists. Patients with idiopathic pulmonary fibrosis had improved rankings and patients with emphysema had worse rankings, but the number of transplants for each disease category did not change significantly compared with the simulated transplants.
Lingaraju
Rajiv
R
Division of Pulmonary/Critical Care, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Blumenthal
Nancy P
NP
Kotloff
Robert M
RM
Christie
Jason
J
Ahya
Vivek N
VN
Sager
Jeffrey S
JS
Pochettino
Alberto
A
Hadjiliadis
Denis
D
D000465:Algorithms; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000502:physiology / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology / Q000601:surgery; D011656:Pulmonary Emphysema / Q000145:classification / Q000601:surgery; D011658:Pulmonary Fibrosis / Q000145:classification / Q000601:surgery; D040841:Resource Allocation; D012720:Severity of Illness Index; D016019:Survival Analysis; D009927:Tissue and Organ Procurement / Q000379:methods*; D014850:Waiting Lists