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Left Lung Orthotopic Transplantation in a Juvenile Porcine Model for ESLP

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Starting a lung transplant program: a roadmap for long-term excellence.

Julia Klesney-Tait¹, Michael Eberlein¹, Lois Geist²

¹Department of Internal Medicine, University of Iowa Carver College of Medicine.

|May 6, 2015

Summary

Establishing a successful lung transplant program requires careful planning and continuous quality assessment. Key factors include recipient/donor availability, institutional expertise, and financial stability for long-term viability.

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Area of Science:

Medicine
Transplant Surgery
Health Services Research

Background:

Lung transplantation is a vital treatment for end-stage lung disease.
New lung transplant programs face a high failure rate (over 40%) due to resource and expertise demands.
Assessing program viability and quality is crucial for success.

Purpose of the Study:

To identify critical internal and external factors influencing the success of new lung transplant programs.
To propose a framework for assessing and ensuring programmatic excellence in lung transplantation.
To share insights from establishing a high-performing lung transplant program.

Main Methods:

Analysis of the United Network of Organ Sharing database for new program failure rates.
Assessment of regional recipient and donor availability.
Evaluation of institutional expertise across medical, administrative, and financial domains.
Prospective identification and tracking of quality measures: volume, outcomes, finances, and academic contribution.

Main Results:

The University of Iowa's new lung transplant program achieved 101 transplants with a 91% 1-year survival rate within 5 years.
The program's success places it among the top nationally.
Identified key factors and quality measures are essential for program viability.

Conclusions:

A comprehensive strategy for assessing program viability and quality is necessary for new lung transplant centers.
Focusing on volume, recipient outcomes, financial solvency, and academic contribution can drive programmatic excellence.
Successful lung transplant programs require meticulous planning, resource allocation, and continuous quality monitoring.