The Registry of the International Society for Heart and Lung Transplantation: Thirtieth Adult Lung and Heart-Lung Transplant Report--2013; focus theme: age.
TL;DR: This report describes donor and recipient characteristics, transplant type, and recipient outcomes data, and focuses on an overall theme of recipient and donor age and incorporates new age-related analyses into its annual update.
Abstract: This section of the 30th official Registry report of 2013 summarizes data from 43,428 adult lung and 3,703 adult heart-lung transplant recipients and their donors for transplants that occurred through June 30, 2012. This report describes donor and recipient characteristics, transplant type, and recipient outcomes data. The full Registry slide set available online (www.ishlt.org/registries) provides more detail, additional analyses, and other information not included in this printed report. For the first time, the Registry report focuses on an overall theme of recipient and donor age and incorporates new age-related analyses into its annual update.
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Stanford University1, University of Zurich2, Freeman Hospital3, Duke University4, University of Toronto5, Columbia University6, University of Washington7, Washington University in St. Louis8, Alfred Hospital9, Katholieke Universiteit Leuven10, University of Colorado Denver11, St. Vincent's Health System12
TL;DR: Recommendations include discussions not present in previous ISHLT guidelines, including lung allocation scores, bridging to transplant with mechanical circulatory and ventilator support, and expanded indications for lung transplantation.
Abstract: The appropriate selection of lung transplant recipients is an important determinant of outcomes. This consensus document is an update of the recipient selection guidelines published in 2006. The Pulmonary Council of the International Society for Heart and Lung Transplantation (ISHLT) organized a Writing Committee of international experts to provide consensus opinion regarding the appropriate timing of referral and listing of candidates for lung transplantation. A comprehensive search of the medical literature was conducted with the assistance of a medical librarian. Writing Committee members were assigned specific topics to research and discuss. The Chairs of the Writing Committee were responsible for evaluating the completeness of the literature search, providing editorial support for the manuscript, and organizing group discussions regarding its content. The consensus document makes specific recommendations regarding the timing of referral and of listing for lung transplantation. These recommendations include discussions not present in previous ISHLT guidelines, including lung allocation scores, bridging to transplant with mechanical circulatory and ventilator support, and expanded indications for lung transplantation. In the absence of high-grade evidence to support decision making, these consensus guidelines remain part of a continuum of expert opinion based on available studies and personal experience. Some positions are immutable. Although transplant is rightly a treatment of last resort for end-stage lung disease, early referral allows proper evaluation and thorough patient education. Subsequent waiting list activation implies a tacit agreement that transplant offers a significant individual survival advantage. It is both the challenge and the responsibility of the transplant community globally to ensure organ allocation maximizes the potential benefits of a scarce resource, thereby achieving that advantage.
1,063 citations
TL;DR: This section of the 19th Official Registry Report of 2016 summarizes data from pediatric lung transplant recipients and their donors for transplants that occurred through June 30, 2015, and describes donor and recipient characteristics, transplant type and recipient outcomes data.
Abstract: This section of the 19th Official Registry Report of 2016 summarizes data from pediatric lung transplant recipients and their donors for transplants that occurred through June 30, 2015. This report describes donor and recipient characteristics, transplant type and recipient outcomes data. The full Registry slide set available online (www.ishlt.org/ registries) provides more detail, additional analyses and other information not included in this printed report. This year’s report focuses on primary diagnostic indications for transplant. We present data on the distribution of diagnostic categories, demographics of patients with the different lung disorders leading to the need for transplant (Figure 1), associations of the diagnoses with outcomes, and other data of interest related to this topic. Data on heart-lung transplantation in children are not presented in this year’s report, as the number of pediatric heart–lung transplant procedures has remained very low. Only 11 pediatric heart–lung transplant procedures performed in 2014 were reported to the Registry. Data on pediatric heart–lung transplantation were presented in
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577 citations
TL;DR: This Registry Report focuses on an overall theme of recipient early graft failure, and reports data for donor and recipient characteristics, transplant events, and recipient treatments and outcomes.
Abstract: This section of the 32nd official International Society for Heart and Lung Transplantation (ISHLT) Registry Report of 2015 summarizes data from 51,440 adult lung and 3,820 adult heart-lung transplants that occurred through June 30, 2014. This publication reports data for donor and recipient characteristics, transplant events, and recipient treatments and outcomes. This Registry Report focuses on an overall theme of recipient early graft failure. The Registry’s online full slide set provides more detail, additional analyses, and other information not included in this publication.
503 citations
References
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01 Jan 2006
TL;DR: Regression models are frequently used to develop diagnostic, prognostic, and health resource utilization models in clinical, health services, outcomes, pharmacoeconomic, and epidemiologic research, and in a multitude of non-health-related areas.
Abstract: Regression models are frequently used to develop diagnostic, prognostic, and health resource utilization models in clinical, health services, outcomes, pharmacoeconomic, and epidemiologic research, and in a multitude of non-health-related areas. Regression models are also used to adjust for patient heterogeneity in randomized clinical trials, to obtain tests that are more powerful and valid than unadjusted treatment comparisons.
4,211 citations
TL;DR: The basic Bayesian framework must be constrained, use of the step function in computing the probability that a team would rank best or worst in a league, and implementation of a Dirichlet process prior are presented.
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4,086 citations