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How Does Multiple Listing Affect Lung Transplantation? A Retrospective Analysis.

Lillian Zheng1, Sonal Chandratre2, Ahmed Ali1

  • 1Department of Surgery, Division of Cardio-thoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Seminars in Thoracic and Cardiovascular Surgery
|May 10, 2021
PubMed
Summary
This summary is machine-generated.

Multiple listing for lung transplantation increases the chance of receiving an organ but does not affect survival rates or waitlist mortality. This strategy offers patients more informed choices regarding lung transplant candidacy.

Keywords:
Decreased waitlist timeLung transplantMulti-listing

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Area of Science:

  • Cardiology
  • Pulmonology
  • Transplant Surgery

Background:

  • The impact of multiple listing (ML) strategies on lung transplantation outcomes remains unclear.
  • Lung transplantation involves complex decisions for patients on the waiting list.

Purpose of the Study:

  • To evaluate the effect of multiple listing (ML) versus single listing (SL) on lung transplant outcomes.
  • To compare overall survival, waitlist mortality, and post-transplant survival between ML and SL candidates.

Main Methods:

  • Retrospective review of the United Network for Organ Sharing (UNOS) registry (May 2005 - March 2017).
  • Incidence density matching used to compare ML candidates with SL controls.
  • Cox regression and Nelson-Aalen estimators analyzed survival and competing risks.

Main Results:

  • Multiple listing significantly increased the probability of receiving a lung transplant (83.6% vs. 71% at 2 years).
  • No significant differences in overall survival at 1, 3, or 5 years between ML and SL groups.
  • Multiple listing was not associated with increased waitlist mortality or differences in post-transplant survival.

Conclusions:

  • Multiple listing substantially increases the likelihood of lung transplantation.
  • The strategy does not negatively impact overall survival, waitlist mortality, or post-transplant outcomes.
  • Findings support informed decision-making for patients considering multiple listing for lung transplantation.