Authors
R Vos, JM Smits, A Strelniece, R Buhl, T Deuse, F Dzubur, P Evrard, M Harlander, R Hoek, D Hoefer, K Hoetzenecker, C Knoop, H Kwakkel-van Erp, G Lang, F Langer, BD Luijk, I Madurka, B Rondelet, R Schramm, D van Kessel, G Verleden, E Verschuuren, C Witt, D Green, J Gottlieb
Publication date
2021/4/1
Journal
The Journal of Heart and Lung Transplantation
Volume
40
Issue
4
Pages
S161
Publisher
Elsevier
Description
Purpose
For patients, for whom the calculated LAS is not appropriately reflecting benefit of lung transplantation (LTx), a so-called exceptional LAS (eLAS) value can be requested. The aim of this study was to investigate the outcome after a first eLAS request.
Methods
All patients with an eLAS request in Eurotransplant in the period between December 10, 2011 and July 31, 2019 were included (N=256). Patients were followed for at least one year until LTx or death on the waiting list (DOWL) occurred. Waiting list outflow was analyzed using competing risk method. Differences were tested using log likelihood tests. Multivariate analysis was performed to study factors determining the acceptance of an eLAS request.
Results
Of 256 patients, 97 (38%) eLAS requests were approved and 159 (62%) were declined. Within 1 year after the first request, 78 (80.4%) of the accepted patients underwent a LTx and 14 (14.4%) had …
Scholar articles
R Vos, JM Smits, A Strelniece, R Buhl, T Deuse… - The Journal of Heart and Lung Transplantation, 2021