title: OPTN/SRTR 2013 Annual Data Report: lung.
abstract: Lungs are allocated to adult and adolescent transplant candidates (aged ⩾ 12 years) on the basis of age, geography, blood type compatibility, and the lung allocation score (LAS), which reflects risk of waitlist mortality and probability of posttransplant survival. In 2013, the most adult candidates, 2394, of any year were added to the list. Overall median waiting time for candidates listed in 2013 was 4.0 months. The preferred procedure remained bilateral lung transplant, representing approximately 70% of lung transplants in 2013. Measures of short-term and longterm survival have plateaued since the implementation of the LAS in 2005. The number of new child candidates (aged 0-11 years) added to the lung transplant waiting list increased to 39 in 2013. A total of 28 lung transplants were performed in child recipients, 3 for ages younger than 1 year, 9 for ages 1 to 5 years, and 16 for ages 6 to 11 years. The diagnosis of pulmonary hypertension was associated with higher survival rates than cystic fibrosis or other diagnosis (pulmonary fibrosis, bronchiolitis obliterans, bronchopulmonary dysplasia). For child candidates, infection was the leading cause of death in year 1 posttransplant and graft failure in years 2 to 5.
authors.affiliation: Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
authors.forename: M
authors.initials: M
authors.lastname: Valapour
authors.forename: M A
authors.initials: MA
authors.lastname: Skeans
authors.forename: B M
authors.initials: BM
authors.lastname: Heubner
authors.forename: J M
authors.initials: JM
authors.lastname: Smith
authors.forename: M I
authors.initials: MI
authors.lastname: Hertz
authors.forename: L B
authors.initials: LB
authors.lastname: Edwards
authors.forename: W S
authors.initials: WS
authors.lastname: Cherikh
authors.forename: E R
authors.initials: ER
authors.lastname: Callahan
authors.forename: J J
authors.initials: JJ
authors.lastname: Snyder
authors.forename: A K
authors.initials: AK
authors.lastname: Israni
authors.forename: B L
authors.initials: BL
authors.lastname: Kasiske
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000847:Annual Reports as Topic; D002648:Child; D002675:Child, Preschool; D005260:Female; D006085:Graft Survival; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008171:Lung Diseases / Q000601:surgery*; D016040:Lung Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission; D040841:Resource Allocation; D015996:Survival Rate; D014019:Tissue Donors; D016896:Treatment Outcome; D014481:United States; D014850:Waiting Lists; D055815:Young Adult
keywords: End-stage lung disease; lung allocation score; lung transplant; organ allocation; transplant outcomes