title: [Lung transplantation in Reunion Island, current situation from January 2005 till May 2015].
abstract: Lung transplantation (LT) is a therapeutic option for patients with terminal respiratory failure and high risk of mortality in two years. Until now, this activity is not performed in Reunion Island. The candidate potential are thus directed to the metropolitan reference centres causing logistics and financials constraints. This work presents a current situation of the pulmonary transplantation in Reunion Island. This retrospective study includes patients from Reunion Island with respiratory insufficiency who have been transferred to metropolitan centres to apply to LT. The selection was made from January, 2005 till May, 2015. Twenty-nine patients included, aged from 14 to 64 years, were transferred to metropolitan France: 13 patients with cystic fibrosis, 13 patients with pulmonary fibrosis, 1 patients with bronchiectasis, 1 patient with chronic obstructive pulmonary disease (COPD) and 1 patient with pulmonary arterial hypertension. Fifteen patients underwent LT (4 live in Reunion Island, 5 live in metropolitan France and 6 are dead), 1 patient is alive on waiting list, 3 died on the waiting list, 7 patients were refused for transplantation and 3 patients are lost to follow-up. The number of patients transferred for LT increases over 10 years with a maximal incidence in 2013 of 7 repatriated patients including 3 transplanted patients. LT could be performed in half of our patients with possible come back and follow-up on Reunion Island. Indications follow the current trends except an under representation of COPD.
authors.affiliation: Centre hospitalier Félix-Guyon, CHU de la Réunion, allée des Topazes, 97400 Saint-Denis, Réunion. Electronic address: charles.odoric.simon@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Simon
authors.affiliation: Centre hospitalier Félix-Guyon, CHU de la Réunion, allée des Topazes, 97400 Saint-Denis, Réunion. Electronic address: nathalie.allou@chu-reunion.fr.
authors.forename: N
authors.initials: N
authors.lastname: Allou
authors.affiliation: Centre hospitalier Félix-Guyon, CHU de la Réunion, allée des Topazes, 97400 Saint-Denis, Réunion. Electronic address: pascal.schlossmacher@chu-reunion.fr.
authors.forename: P
authors.initials: P
authors.lastname: Schlossmacher
authors.affiliation: Groupe hospitalier sud Réunion, CHU de la Réunion, avenue du président Miterrand, 97410 Saint-Pierre, Réunion. Electronic address: thierry.gendry@chu-reunion.fr.
authors.forename: T
authors.initials: T
authors.lastname: Gendry
authors.affiliation: Centre hospitalier Louis-Pradel, 28, avenue du Doyen-Jean-Lépine, 69500 Lyon, France. Electronic address: laura-delay@hotmail.fr.
authors.forename: L
authors.initials: L
authors.lastname: Delay
authors.affiliation: Centre hospitalier Félix-Guyon, CHU de la Réunion, allée des Topazes, 97400 Saint-Denis, Réunion. Electronic address: virgile.gazaille@chu-reunion.fr.
authors.forename: V
authors.initials: V
authors.lastname: Gazaille
mesh_terms: D000293:Adolescent; D000328:Adult; D003550:Cystic Fibrosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000453:epidemiology / Q000628:therapy; D015994:Incidence; D016040:Lung Transplantation / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology / Q000628:therapy; D012131:Respiratory Insufficiency / Q000453:epidemiology* / Q000628:therapy*; D012189:Retrospective Studies; D017508:Reunion / Q000453:epidemiology; D055815:Young Adult
keywords: Insuffisance respiratoire; Lung transplantation; Reunion Island; Terminal respiratory failure; Transplantation pulmonaire; Épidémiologie; Île de la Réunion