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[Lung transplantation program for Hungarian patients].

György Lang1, Krisztina Czebe, Balázs Gieszer

  • 1Medizinische Universität, Wien, Chirurgische Universitätsklinik, Abteilung für Thoraxchirurgie, Wien.

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Lung transplantation is a vital option for end-stage lung disease. Hungary is developing the expertise to perform these complex surgeries nationally, requiring a health policy decision.

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Area of Science:

  • Thoracic Surgery
  • Transplantation Medicine
  • Pulmonology

Background:

  • Lung transplantation is the sole therapeutic option for end-stage parenchymal or vascular lung diseases when conservative treatments fail.
  • Over 3500 lung transplantations were performed globally in 2010, with Vienna as a leading center performing 115 cases that year.
  • Hungarian patients have undergone lung transplantation in Vienna through a twinning agreement, with increasing local involvement.

Purpose of the Study:

  • To assess the feasibility and growing demand for establishing an independent national lung transplantation program in Hungary.
  • To highlight the stepwise transfer of crucial tasks, including patient selection and follow-up care, to the Hungarian medical team.
  • To emphasize that while surgery is still in Vienna, the necessary professional expertise now exists in Hungary.

Main Methods:

  • Review of international lung transplantation statistics.
  • Analysis of the collaborative efforts between Hungarian and Viennese medical teams.
  • Evaluation of the increasing demand and developing capabilities for lung transplantation in Hungary.

Main Results:

  • Hungarian surgeons have gained substantial experience, performing the majority of lung transplantations for Hungarian recipients.
  • Crucial aspects of lung transplantation, such as indication, patient selection, and follow-up, are increasingly managed by Hungarian specialists.
  • The demand for lung transplantation in Hungary has steadily risen since 1999.

Conclusions:

  • Hungary possesses the necessary professional and personal requirements to establish its own national lung transplantation program.
  • The increasing demand and acquired expertise justify the initiation of an independent national program.
  • Implementing a national lung transplantation program in Hungary is contingent upon financial, organizational, and health policy decisions.