ArticleJournal of Korean medical science2021
Performance Changes Following the Revision of Organ Allocation System of Lung Transplant: Analysis of Korean Network for Organ Sharing Data.
Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Machine Learning for 1-Year Graft Failure Prediction in Lung Transplant Recipients: The Korean Organ Transplantation Registry.Clinical transplantation · 2025Article
- Development of a Machine Learning-Powered Optimized Lung Allocation System for Maximum Benefits in Lung Transplantation: A Korean National Data.Journal of Korean medical science · 2025Article
- Machine Learning for 1-Year Mortality Prediction in Lung Transplant Recipients: ISHLT Registry.Transplant international : official journal of the European Society for Organ Transplantation · 2025Article
- Outcomes of Patients on the Lung Transplantation Waitlist in Korea: A Korean Network for Organ Sharing Data Analysis.Journal of Korean medical science · 2022Article
- Lung Transplantation for Patients with COVID-19 Acute Respiratory Distress Syndrome.Journal of chest surgery · 2022Article
- Allocation of Donor Lungs in Korea.Journal of chest surgery · 2022Article
- Successful lung transplantation after prone positioning in an ineligible donor: a case report.General thoracic and cardiovascular surgery · 2021Article
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Authors and funding
5 authors.
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Abstract
backgroundThere is currently a lack of data on the impact of the recent revision of the domestic lung allocation system on transplant performance.
methodsWe conducted a retrospective analysis of transplant candidates and transplant patients registered in Korean Network for Organ Sharing between July 2015 and July 2019. Study periods were classified according to the introduction of the revised lung allocation system as follows: period 1 from July 2015 to June 2017 and period 2 from August 2017 to July 2019.
resultsDuring the study period, a total of 627 patients were on the waiting list, of which 398 lung transplantations were performed. Total waiting list size increased by 98.6%, from 210 in period 1 to 417 in period 2. The number of transplant patients also increased by 32.7%, from 171 in period 1 to 227 in period 2. The number of donors decreased from 1,042 to 878, whereas the usage rate, i.e., the number of lung donors used for transplantation among the total number of reported lung donors, increased from 16.4% to 25.9%. The proportion of patients with high urgent status at transplantation increased from 45% to 60.4%, whereas those with urgent status decreased from 46.8% to 35.7% (
conclusionThe recent revision of the lung allocation system in Korea did not change the performance of lung transplant in terms of waiting list mortality and 1-year survival. The rapid increase in the volume of waiting list between the two periods increased the waiting time, transplantation of high-urgency patients, and use of marginal lung donors.
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