Effect of revised organ transplant law in Japan on lung transplantation
© 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd..
PURPOSE: To investigate how revision of the organ transplant law in Japan affected lung transplantation in this country.
METHODS: Lung transplant candidates registered between January, 2000 and December, 2009 were designated as the pre-revision group (n = 396) and those registered between January, 2011 and December, 2020, as the post-revision group (n = 1326). Both groups were analyzed retrospectively using data collected by the Japanese Society of Lung and Heart-Lung Transplantation.
RESULTS: The number of patients who underwent brain-dead donor lung transplantation (BDLT) increased significantly after the law amendment (32.2 vs. 13.8%, p < 0.01). The median waiting time for BDLT was significantly reduced (708 days vs. 1163 days, p < 0.01) and the mortality rate while waiting for BDLT improved significantly after the law amendment (33.1 vs. 42.6%, p < 0.01). In the post-revision group, 18 pediatric patients underwent BDLT. The 5-year survival rates after BDLT were comparable between the groups (73.5% in the pre-revision group vs. 73.2% in the post-revision group, p = 0.32).
CONCLUSIONS: The organ transplant law revision shortened the waiting time for BDLT significantly and decreased the mortality rate while waiting for BDLT. The posttransplant outcomes in Japan remained favorable throughout the study period.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
---|---|
Enthalten in: |
Surgery today - (2024) vom: 15. Apr. |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Imamura, Yoshito [VerfasserIn] |
---|
Links: |
---|
Themen: |
Brain-dead donor |
---|
Anmerkungen: |
Date Revised 15.04.2024 published: Print-Electronic Citation Status Publisher |
---|
doi: |
10.1007/s00595-024-02839-5 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM371089247 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM371089247 | ||
003 | DE-627 | ||
005 | 20240415234834.0 | ||
007 | cr uuu---uuuuu | ||
008 | 240415s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1007/s00595-024-02839-5 |2 doi | |
028 | 5 | 2 | |a pubmed24n1376.xml |
035 | |a (DE-627)NLM371089247 | ||
035 | |a (NLM)38619591 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Imamura, Yoshito |e verfasserin |4 aut | |
245 | 1 | 0 | |a Effect of revised organ transplant law in Japan on lung transplantation |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 15.04.2024 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status Publisher | ||
520 | |a © 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. | ||
520 | |a PURPOSE: To investigate how revision of the organ transplant law in Japan affected lung transplantation in this country | ||
520 | |a METHODS: Lung transplant candidates registered between January, 2000 and December, 2009 were designated as the pre-revision group (n = 396) and those registered between January, 2011 and December, 2020, as the post-revision group (n = 1326). Both groups were analyzed retrospectively using data collected by the Japanese Society of Lung and Heart-Lung Transplantation | ||
520 | |a RESULTS: The number of patients who underwent brain-dead donor lung transplantation (BDLT) increased significantly after the law amendment (32.2 vs. 13.8%, p < 0.01). The median waiting time for BDLT was significantly reduced (708 days vs. 1163 days, p < 0.01) and the mortality rate while waiting for BDLT improved significantly after the law amendment (33.1 vs. 42.6%, p < 0.01). In the post-revision group, 18 pediatric patients underwent BDLT. The 5-year survival rates after BDLT were comparable between the groups (73.5% in the pre-revision group vs. 73.2% in the post-revision group, p = 0.32) | ||
520 | |a CONCLUSIONS: The organ transplant law revision shortened the waiting time for BDLT significantly and decreased the mortality rate while waiting for BDLT. The posttransplant outcomes in Japan remained favorable throughout the study period | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Brain-dead donor | |
650 | 4 | |a Living donor | |
650 | 4 | |a Lung transplantation | |
650 | 4 | |a Organ transplant law | |
700 | 1 | |a Nakajima, Daisuke |e verfasserin |4 aut | |
700 | 1 | |a Kanou, Takashi |e verfasserin |4 aut | |
700 | 1 | |a Shintani, Yasushi |e verfasserin |4 aut | |
700 | 1 | |a Sugimoto, Seiichiro |e verfasserin |4 aut | |
700 | 1 | |a Toyooka, Shinichi |e verfasserin |4 aut | |
700 | 1 | |a Hoshikawa, Yasushi |e verfasserin |4 aut | |
700 | 1 | |a Matsumoto, Keitaro |e verfasserin |4 aut | |
700 | 1 | |a Nagayasu, Takeshi |e verfasserin |4 aut | |
700 | 1 | |a Suzuki, Hidemi |e verfasserin |4 aut | |
700 | 1 | |a Maeda, Sumiko |e verfasserin |4 aut | |
700 | 1 | |a Chida, Masayuki |e verfasserin |4 aut | |
700 | 1 | |a Shiraishi, Takeshi |e verfasserin |4 aut | |
700 | 1 | |a Sato, Toshihiko |e verfasserin |4 aut | |
700 | 1 | |a Sato, Masaaki |e verfasserin |4 aut | |
700 | 1 | |a Nakajima, Jun |e verfasserin |4 aut | |
700 | 1 | |a Oishi, Hisashi |e verfasserin |4 aut | |
700 | 1 | |a Okada, Yoshinori |e verfasserin |4 aut | |
700 | 1 | |a Date, Hiroshi |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Surgery today |d 1997 |g (2024) vom: 15. Apr. |w (DE-627)NLM012623938 |x 1436-2813 |7 nnns |
773 | 1 | 8 | |g year:2024 |g day:15 |g month:04 |
856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00595-024-02839-5 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |j 2024 |b 15 |c 04 |