Going the distance: Geographic effects of the lung transplant composite allocation score.

ABSTRACT:

Background

In March 2023, the lung allocation policy underwent major changes from a tiered structure to a composite allocation score (CAS). The goal was to improve allocation equity for disadvantaged groups by deprioritizing transplant distance. This study examines the effects of CAS on geographic trends and transportation efficiency.

Methods

A retrospective cohort study was conducted using the United Network for Organ Sharing database, queried for adult lung transplants from September 1, 2022 to September 1, 2023. Outcomes were nautical distance of transplant, ischemic time, and flight required for transport (estimated as distance >100 miles). Perioperative complications and early survival were analyzed, with propensity matching to account for baseline differences.

Resul

SUBMITTER: Li SS 

PROVIDER: S-EPMC11935514 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature