Lung transplantation in Norway 1999-2020. / Lungetransplantasjon i Norge 19992020.
Tidsskr Nor Laegeforen
; 143(14)2023 10 10.
Article
en En, Nor
| MEDLINE
| ID: mdl-37830971
ABSTRACT
BACKGROUND:
Since 2009, patients with a rapidly progressing lung disease have been given a higher priority on the waiting list for a lung transplant. The purpose of our study was to examine diagnosis distribution, waiting list times, mortality and survival for patients on the waiting list in the period 1999-2020. MATERIAL ANDMETHOD:
We conducted a descriptive, retrospective study of patients on the waiting list for a lung transplant in the periods 1999-2008 and 2009-2020.RESULTS:
A total of 557 lung transplants were performed 185 in 1999-2008 (median of 17.5 per year) and 372 in 2009-2020 (median of 32.5 per year). In the periods 1999-2008 and 2009-2020, the proportion of patients with chronic obstructive pulmonary disease (COPD)/emphysema was 67 % and 49 %, respectively. The corresponding figures for pulmonary fibrosis were 13 % and 23 %, and for cystic fibrosis 5 % and 11 %. Waiting list mortality was 27 % in 1999-2008 and 16 % in 2009-2020. Correspondingly for the two periods, waiting list mortality for patients with pulmonary fibrosis was 45 % and 22 %, and for cystic fibrosis 41 % and 2 %. Waiting times were shorter for all diagnoses in the period after the change in priority and longest for patients with COPD/emphysema (median of 381 days). Median survival after lung transplantation during the study period was ten years.INTERPRETATION:
For patients with pulmonary fibrosis and cystic fibrosis, the change in transplant priority in 2009 may have played a role in reducing waiting list mortality.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fibrosis Pulmonar
/
Trasplante de Pulmón
/
Fibrosis Quística
/
Enfermedad Pulmonar Obstructiva Crónica
/
Enfisema
Límite:
Humans
Idioma:
En
/
Nor
Revista:
Tidsskr Nor Laegeforen
Año:
2023
Tipo del documento:
Article