Evidence map›Paper›PMID 39048322›Full record

ArticleYonsei medical journal2024

Evaluation of the Current Urgency-Based Lung Allocation System in Korea with Simulation of the Eurotransplant Lung Allocation Score.

Woo Sik Yu, Sun Mi Choi, Hye Ju Yeo, Dong Kyu Oh, Sung Yoon Lim, Young Tae Kim, Kyeongman Jeon, Jin Gu Lee

Abstract read
In one paragraph

Article in Yonsei medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Woo Sik Yu *Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-5100-9131
Sun Mi Choi *Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0742-6085
Hye Ju YeoDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0002-8403-5790
Dong Kyu OhDepartment of Pulmonology, Dongkang General Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0002-7511-9634
Sung Yoon LimDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0003-3161-8711
Young Tae KimDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9006-4881
Kyeongman JeonDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kjeon@skku.edu.ORCID https://orcid.org/0000-0002-4822-1772
Jin Gu LeeDepartment of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea. csjglee@yuhs.ac.ORCID https://orcid.org/0000-0003-2767-6505

Funding

Korea National Institute of Health 2014-ER6301-00Korea National Institute of Health 2014-ER6301-01Korea National Institute of Health 2014-ER6301-02Korea National Institute of Health 2017-ER6301-00Korea National Institute of Health 2017-ER6301-01Korea National Institute of Health 2017-ER6301-02Korea National Institute of Health 2020-ER7201-00Korea National Institute of Health 2020-ER7201-01Korea National Institute of Health 2020-ER7201-02Korea National Institute of Health 2023-ER0805-00
6 · The paper itself

Abstract

purposeDue to the shortage of lung donors relative to the number of patients waiting for lung transplantation (LTx), more than one-third of patients on the waitlist have died without receiving LTx in Korea. Therefore, the importance of fair and effective allocation policies has been emphasized. This study investigated the characteristics of the current urgency-based allocation system in Korea by simulating the Eurotransplant lung allocation score (ET-LAS) using a nationwide multi-institutional registry for LTx in Korea. MATERIALS AND

methodsThis study used data from the Korean Organ Transplantation Registry (KOTRY), along with additional retrospective data for ET-LAS calculation. A total of 194 patients were included in this study between January 2015 and December 2019. The Korean urgency definition classifies an LTx candidate as having statuses 0-3 according to urgency. The ET-LAS was analyzed according to the Korean urgency status.

resultsIn total, 92 patients received lung transplants at status 0, 85 at status 1, and 17 at status 2/3. The ET-LAS showed a bimodal distribution with distinct peaks corresponding to status 0 and non-status 0. There was no significant difference in the ET-LAS among non-status 0 patients. In logistic and decision tree analyses, oxygen supplementation methods, particularly oxygen masks and high-flow nasal cannulas, were significantly associated with a high ET-LAS (≥50) among non-status 0 patients.

conclusionSimulation of the ET-LAS with KOTRY data showed that the Korean urgency definition may not allocate lungs by urgency, especially for patients in non-status 0; therefore, it needs to be revised.

Indexed as

Lung TransplantationTissue and Organ ProcurementWaiting ListsAdultAgedFemaleHumansMaleMiddle AgedRegistriesRepublic of KoreaRetrospective StudiesTissue DonorsclassificationLung transplanttransplant recipients

Identifiers

PMID39048322
PMCPMC11284304

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.