Promoting utilization of donors after circulatory death in lung transplantation

JHLT Open Pub Date : 2026-05-01 Epub Date: 2026-01-15 DOI:10.1016/j.jhlto.2026.100491
Doug A. Gouchoe MD , Ashley Cardenas MAS, FAST , Gary F. Marklin MD, MA , Errol Bush MD , Bryan A. Whitson MD, PhD , Jordan R.H. Hoffman MD, MPH , Darren Stewart MS , David A. Axelrod MD, MBA , Aleem Siddique MBBS, FACS, FACC
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Abstract

Lungs recovered from donation after circulatory death (DCD) are markedly underutilized for transplantation in the U.S. Evidence demonstrating excellent outcomes after DCD lung transplantation underpins the need for strategies to mitigate barriers to DCD lung utilization, including data driven revisions to allocation policy, revising program-specific quality metrics, removing financial barriers, and minimizing logistical disincentives. Expanded DCD transplantation is vital to reduce waitlist mortality and increase lung transplant rate.
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促进肺移植中循环死亡后供体的利用
在美国,循环死亡(DCD)后捐赠恢复的肺在移植中明显未得到充分利用,证据表明,DCD肺移植后的良好结果支持了减轻DCD肺利用障碍的策略的必要性,包括数据驱动的分配政策修订,修订特定项目的质量指标,消除财务障碍,并最大限度地减少后勤障碍。扩大DCD移植对降低候诊死亡率和提高肺移植率至关重要。
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