The Past, Present, and Near Future of Lung Allocation in the United States

Wayne M Tsuang; Erika D Lease; Marie M Budev

doi:10.1016/j.ccm.2022.10.004

The Past, Present, and Near Future of Lung Allocation in the United States

Clin Chest Med. 2023 Mar;44(1):59-68. doi: 10.1016/j.ccm.2022.10.004.

Authors

Wayne M Tsuang¹, Erika D Lease², Marie M Budev³

Affiliations

¹ Lerner College of Medicine, Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
² Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, 1959 NE Pacific Street, Box 356175, Seattle, Washington 98195, USA.
³ Lerner College of Medicine, Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: [email protected].

PMID: 36774168
DOI: 10.1016/j.ccm.2022.10.004

Abstract

The first official donor lung allocation system in the United States was initiated by the United Network of Organ Sharing in 1990. The initial policy for lung allocation was simple with donor lungs allocated based on ABO match and the amount of time the candidates accrued on the waiting list. Donor offers were first given to candidates' donor service area. In March 2005, the implementation of the lung allocation score (LAS) was the major change in organ allocation. International adoption of the LAS-based allocation system can be seen worldwide.

Keywords: Continuous distribution; Lung allocation; Lung allocation score; Lung transplantation.

Publication types

Review
Research Support, N.I.H., Extramural

MeSH terms

Humans
Lung
Lung Transplantation*
Tissue Donors
Tissue and Organ Procurement*
United States
Waiting Lists