July 5, 2013

Disparities in lung transplantation before and after introduction of the lung allocation score


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The lung allocation score (LAS) was implemented in the USA in 2005 to ensure a more objective process for allocation of donor lungs and to minimize the effects of geography. This study examines the association between race, gender, and lung transplantation before and after introduction of the LAS, using data from the UNOS database. In the pre-LAS era, black patients were more likely to become too sick for transplantation, to die within 3 years of waiting list registration, and less likely to receive lung transplantation when compared to white patients. Post-LAS, there was no association with race and death or becoming too sick to be transplanted. Also, black patients had the same likelihood of transplantation as white patients in the post-LAS period. Women had higher likelihood of death or becoming too sick for transplantation after the implementation of LAS, as compared to the pre-LAS era.

Lung Transplantation

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