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Identifying inequities in lung transplantation: a call for strategies and future research.

Meghan J Price1, Sachiko M Oshima2, Daniel M Guidot2

  • 1Johns Hopkins University School of Medicine, Division of Internal Medicine, Baltimore, Maryland.

JHLT Open
|March 27, 2025
PubMed
Summary
This summary is machine-generated.

Racial, ethnic, and socioeconomic inequities persist in lung transplantation, leading to worse outcomes for minoritized groups. This study outlines a roadmap to address these disparities and achieve transplant equity.

Keywords:
access to careend-stage lung disease (ESLD)health disparitieshealth inequitylung transplantation

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Area of Science:

  • Transplant Surgery
  • Health Equity Research
  • Public Health Policy

Background:

  • Solid organ transplantation has advanced significantly, yet disparities in access and outcomes persist.
  • Patients from minoritized racial/ethnic and low socioeconomic groups face lower referral rates, reduced waitlist access, and higher mortality.
  • Existing research on the drivers of these inequities, particularly in lung transplantation, is limited.

Purpose of the Study:

  • To lay a roadmap toward achieving equity in lung transplantation.
  • To highlight existing literature on lung transplant inequities.
  • To identify critical research needs and propose strategies for future action.

Main Methods:

  • Review of available literature on lung transplantation inequities.
  • Identification of knowledge gaps and understudied areas.
  • Proposal of a strategic framework for future research and policy interventions.

Main Results:

  • Significant disparities exist in lung transplant referral, waitlisting, and outcomes based on race, ethnicity, and socioeconomic status.
  • The root causes of these inequities are poorly understood due to limited research.
  • A clear need exists for systematic research and targeted interventions to address these disparities.

Conclusions:

  • Urgent call to action for researchers to systematically study lung transplant disparities.
  • Need for health systems, organizations, and policymakers to implement changes to reduce inequities.
  • Achieving equity in lung transplantation requires a multi-faceted approach addressing systemic barriers.