Broader Geographic Sharing of Pediatric Donor Lungs Improves Pediatric Access to Transplant
- Tsuang, W. M.
- Chan, K. M.
- Skeans, M. A.
- Pyke, J.
- Hertz, M. I.
- Israni, A. J.
- Robbins‐callahan, L.
- Visner, G.
- Wang, X.
- Wozniak, T. C.
- Valapour, M.
DOIAbstract
US pediatric transplant candidates have limited access to lung transplant due to the small number of donors within current geographic boundaries, leading to assertions that the current lung allocation system does not adequately serve pediatric patients. We hypothesized that broader geographic sharing of pediatric (adolescent, 12â 17 years; child, <12 years) donor lungs would increase pediatric candidate access to transplant. We used the thoracic simulated allocation model to simulate broader geographic sharing. Simulation 1 used current allocation rules. Simulation 2 offered adolescent donor lungs across a wider geographic area to adolescents. Simulation 3 offered child donor lungs across a wider geographic area to adolescents. Simulation ...
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