Effect of broader geographic sharing of donor lungs on lung transplant waitlist outcomes.

ABSTRACT:

Background

The United States lung allocation system prioritizes allocation based on medical urgency and benefit but does not address a federal mandate for broader geographic organ sharing. It is unknown whether broader geographic sharing of donor lungs would improve lung transplant waitlist outcomes.

Methods

A discrete event microsimulation model simulated donor lung allocation according to different geographic lung-sharing policies, including the historic local donor service area (DSA)-based policy and hypothetical policies that prioritize candidates to donors within 500-mile or 1,000-mile geographic radii. Candidate waitlist mortality, number of transplants, and 1-year survival were compared across organ allocation policies. Waitlist mortality rates were further stratified

SUBMITTER: Mooney JJ 

PROVIDER: S-EPMC6351184 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature