Evidence map›Paper›PMID 41439229›Full record

ArticleJHLT open2026

Racial, ethnic, and sex disparities in lung transplant waitlist outcomes before and after composite allocation score implementation.

Sarah Y Park, Ryan LaVanchy, Nicole M Mott, Michael J Kirsch, Elizabeth J Bashian, Jack Zakrzewski, Michael T Cain, Jordan R H Hoffman, Rocio Lopez, Jesse D Schold and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JHLT open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Sarah Y ParkDepartment of Surgery, Division of Cardiothoracic Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Ryan LaVanchyDepartment of Surgery, Division of Transplant Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Nicole M MottDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Michael J KirschDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Elizabeth J BashianDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Jack ZakrzewskiDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Michael T CainDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Jordan R H HoffmanDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Rocio LopezDepartment of Surgery, Division of Transplant Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Jesse D ScholdDepartment of Surgery, Division of Transplant Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Nicholas R TemanDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO.
Alice L GrayDepartment of Medicine, Division of Pulmonary Sciences and Critical Care, University of Colorado Anschutz Medical Campus, Aurora, CO.
Kara CalhounDepartment of Medicine, Division of Pulmonary Sciences and Critical Care, University of Colorado Anschutz Medical Campus, Aurora, CO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We aimed to evaluate if known racial, ethnic, and sex disparities in lung transplant waitlist outcomes with the Lung Allocation Score (LAS) persist with implementation of the Composite Allocation Score (CAS). Methods: We performed a retrospective cohort study of the Scientific Registry of Transplant Recipients (SRTR) database, examining waitlist outcomes of all adult patients listed for lung transplantation in the United States from January 2018 to March 2024, comparing patients listed in the LAS (1/1/2018-9/9/2022) or CAS (3/9/23-3/24/24) eras. Results: Black candidates had a lower likelihood of transplantation (LAS sHR: 0.85, 95% CI: 0.79-0.91, p<0.001; CAS sHR: 0.81, 0.71-0.93, p=0.002) compared to White candidates in both eras, and a greater likelihood of waitlist removal (sHR: 2.31, 1.35-3.95, p=0.003) in the CAS era. Female candidates had lower rates of transplantation compared to male candidates in both eras (LAS sHR: 0.75, 0.71-0.80, p<0.001; CAS sHR: 0.88, 0.79-0.98, p=0.017). There were no significant differences in extracorporeal membrane oxygenation (ECMO) or mechanical ventilation while listed between race/ethnicity in the CAS era. Female candidates had lower odds of ECMO in both eras (LAS OR: 0.74, CI: 0.58-0.95, p=0.019; CAS OR: 0.53, 0.30-0.96, p=0.037). Black candidates had a greater hazard of waitlist removal due to "other" reasons compared to White candidates in both eras (LAS sHR: 1.75, 1.27-2.42, p<0.001; CAS sHR: 2.06, 1.17-3.61, p=0.013). Conclusion: Disparities in lung transplant waitlist outcomes are improved but persist in the CAS era. These disparities warrant further investigation into ways to provide more equitable access to lung transplantation.

Indexed as

DisparitiesEthnicityLung transplantationRaceSex

Identifiers

PMID41439229
PMCPMC12721069

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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.