Outcomes of Patients on the Lung Transplantation Waitlist in Korea : A Korean Network for Organ Sharing Data Analysis
© 2022 The Korean Academy of Medical Sciences..
BACKGROUND: The demand for lung transplants continues to increase in Korea, and donor shortages and waitlist mortality are critical issues. This study aimed to evaluate the factors that affect waitlist outcomes from the time of registration for lung transplantation in Korea.
METHODS: Data were obtained from the Korean Network for Organ Sharing for lung-only registrations between September 7, 2009, and December 31, 2020. Post-registration outcomes were evaluated according to the lung disease category, blood group, and age.
RESULTS: Among the 1,671 registered patients, 49.1% had idiopathic pulmonary fibrosis (group C), 37.0% had acute respiratory distress syndrome and other interstitial lung diseases (group D), 7.2% had chronic obstructive pulmonary disease (group A), and 6.6% had primary pulmonary hypertension (group B). Approximately half of the patients (46.1%) were transplanted within 1 year of registration, while 31.8% died without receiving a lung transplant within 1 year of registration. Data from 1,611 patients were used to analyze 1-year post-registration outcomes, which were classified as transplanted (46.1%, n = 743), still awaiting (21.1%, n = 340), removed (0.9%, n = 15), and death on waitlist (31.8%, n = 513). No significant difference was found in the transplantation rate according to the year of registration. However, significant differences occurred between the waitlist mortality rates (P = 0.008) and the still awaiting rates (P = 0.009). The chance of transplantation after listing varies depending on the disease category, blood type, age, and urgency status. Waitlist mortality within 1 year was significantly associated with non-group A disease (hazard ratio [HR], 2.76, P < 0.001), age ≥ 65 years (HR, 1.48, P < 0.001), and status 0 at registration (HR, 2.10, P < 0.001).
CONCLUSION: Waitlist mortality is still higher in Korea than in other countries. Future revisions to the lung allocation system should take into consideration the high waitlist mortality and donor shortages.
| Errataetall: |
ErratumIn: J Korean Med Sci. 2023 Apr 17;38(15):e150. - PMID 37069818 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Journal of Korean medical science - 37(2022), 41 vom: 24. Okt., Seite e294 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Yeo, Hye Ju [VerfasserIn] |
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| Links: |
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| Themen: |
Allocation |
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| Anmerkungen: |
Date Completed 26.10.2022 Date Revised 18.04.2023 published: Electronic ErratumIn: J Korean Med Sci. 2023 Apr 17;38(15):e150. - PMID 37069818 Citation Status MEDLINE |
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| doi: |
10.3346/jkms.2022.37.e294 |
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| Förderinstitution / Projekttitel: |
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| 500 | |a ErratumIn: J Korean Med Sci. 2023 Apr 17;38(15):e150. - PMID 37069818 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The Korean Academy of Medical Sciences. | ||
| 520 | |a BACKGROUND: The demand for lung transplants continues to increase in Korea, and donor shortages and waitlist mortality are critical issues. This study aimed to evaluate the factors that affect waitlist outcomes from the time of registration for lung transplantation in Korea | ||
| 520 | |a METHODS: Data were obtained from the Korean Network for Organ Sharing for lung-only registrations between September 7, 2009, and December 31, 2020. Post-registration outcomes were evaluated according to the lung disease category, blood group, and age | ||
| 520 | |a RESULTS: Among the 1,671 registered patients, 49.1% had idiopathic pulmonary fibrosis (group C), 37.0% had acute respiratory distress syndrome and other interstitial lung diseases (group D), 7.2% had chronic obstructive pulmonary disease (group A), and 6.6% had primary pulmonary hypertension (group B). Approximately half of the patients (46.1%) were transplanted within 1 year of registration, while 31.8% died without receiving a lung transplant within 1 year of registration. Data from 1,611 patients were used to analyze 1-year post-registration outcomes, which were classified as transplanted (46.1%, n = 743), still awaiting (21.1%, n = 340), removed (0.9%, n = 15), and death on waitlist (31.8%, n = 513). No significant difference was found in the transplantation rate according to the year of registration. However, significant differences occurred between the waitlist mortality rates (P = 0.008) and the still awaiting rates (P = 0.009). The chance of transplantation after listing varies depending on the disease category, blood type, age, and urgency status. Waitlist mortality within 1 year was significantly associated with non-group A disease (hazard ratio [HR], 2.76, P < 0.001), age ≥ 65 years (HR, 1.48, P < 0.001), and status 0 at registration (HR, 2.10, P < 0.001) | ||
| 520 | |a CONCLUSION: Waitlist mortality is still higher in Korea than in other countries. Future revisions to the lung allocation system should take into consideration the high waitlist mortality and donor shortages | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Oh, Dong Kyu |e verfasserin |4 aut | |
| 700 | 1 | |a Yu, Woo Sik |e verfasserin |4 aut | |
| 700 | 1 | |a Choi, Sun Mi |e verfasserin |4 aut | |
| 700 | 1 | |a Jeon, Kyeongman |e verfasserin |4 aut | |
| 700 | 1 | |a Ha, Mihyang |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Jin Gu |e verfasserin |4 aut | |
| 700 | 1 | |a Cho, Woo Hyun |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Young Tae |e verfasserin |4 aut | |
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