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Disparities in Lung Transplantation.

Simran K Randhawa1, Sophia H Roberts2, Varun Puri3

  • 1Division of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

Thoracic Surgery Clinics
|November 21, 2021
PubMed
Summary

Lung transplantation (LT) offers improved survival for end-stage lung disease. This article examines disparities in LT access and proposes solutions to enhance patient equity.

Keywords:
DisparitiesDonorLung transplantationRecipient

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Area of Science:

  • Medical Science
  • Transplantation Medicine
  • Pulmonary Medicine

Background:

  • Lung transplantation (LT) has evolved since 1983, becoming a standard treatment for end-stage lung disease.
  • LT significantly improves survival and quality of life for patients with limited alternatives.
  • Establishing and sustaining LT programs presents considerable challenges and resource demands.

Purpose of the Study:

  • To identify and analyze existing disparities in lung transplantation.
  • To explore potential strategies for improving equitable access to LT.

Main Methods:

  • Literature review on LT outcomes and access barriers.
  • Analysis of factors contributing to LT disparities.
  • Synthesis of proposed solutions for enhancing LT accessibility.

Main Results:

  • Significant progress in LT survival rates has been achieved.
  • Multiple barriers hinder equitable access to LT across different patient populations.
  • Specific interventions are needed to address identified disparities.

Conclusions:

  • Lung transplantation is a vital therapy for end-stage lung disease, but access remains unequal.
  • Addressing disparities is crucial for ensuring fair access to LT benefits.
  • Implementing targeted solutions can mitigate barriers and improve LT equity.