Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (24)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Levine, S. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Levine, S. M.
(Chest. 2004;125:1224-1238.)
© 2004 American College of Chest Physicians

A Survey of Clinical Practice of Lung Transplantation in North America*

Stephanie M. Levine, MD, FCCP; on behalf of The Transplant/Immunology Network of the American College of Chest Physicians{dagger}

* Department of Medicine, Division of Pulmonary and Critical Care Diseases, University of Texas Health Science Center-San Antonio, San Antonio, TX. {dagger} A list of the Steering Committee of the Transplant/Immunology Network of the American College of Chest Physicians (2000–2002) is located in Appendix 1.

Correspondence to: Stephanie M. Levine, MD, FCCP, Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Texas Health Science Center-San Antonio, San Antonio, TX 78229; e-mail: levines{at}uthscsa.edu

Objectives: The clinical practice of lung transplantation (LT) varies widely among transplant centers. The objective of this study was to determine the practice patterns of North American lung transplant programs in specific areas that are considered controversial by most lung transplant practitioners.

Methods: The Transplant/Immunology Network of the American College of Chest Physicians (ACCP) designed a survey and distributed it through the ACCP using a Web-based survey tool. The survey was divided into the following two sections: (1) patient selection issues; and (2) posttransplant management. Additional questions were asked about graft preservation, retransplantation, and living donor operations. A single 64-question survey was sent to each lung transplant program in the United Sates registered in the United Network of Organ Sharing database as of September 2001 and to each of the five active Canadian programs.

Results: The survey was conducted in September and October 2002. Fifty of 65 active centers completed the survey, for a response rate of 77%. The data are presented in graphic format as a percentage of respondents.

Conclusion: This survey provides a large, time-sensitive database summarizing the clinical practice of LT in North America. In general, the survey responses demonstrated a remarkable degree of consistency around patient selection criteria, but much greater variance in posttransplant management of lung transplant recipients. These findings may reflect the fact that a published selection criteria guideline exists, but no similar documents have been designed for postoperative management. Hopefully, postoperative areas with widely divergent approaches to management will foster future collaborative studies aimed at identifying the most appropriate practices.

Key Words: acute rejection • bronchiolitis obliterans • chronic rejection • cytomegalovirus • infection • lung transplantation • survey




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
P. W. Smith, H. Wang, V. Parini, J. S. Zolak, K. R. Shen, T. M. Daniel, M. K. Robbins, C. G. Tribble, I. L. Kron, and D. R. Jones
Lung Transplantation in Patients 60 Years and Older: Results, Complications, and Outcomes
Ann. Thorac. Surg., November 1, 2006; 82(5): 1835 - 1841.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
J. S. Bauer and K. D. French
Pulmonary practice profiles: results of a practice performance survey.
Chest, September 1, 2006; 130(3): 885 - 889.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S. Deb, J. Yun, N. Burton, E. Omron, J. Thurber, and S. D. Nathan
Reversal of idiopathic pulmonary arterial hypertension and allograft pneumonectomy after single lung transplantation.
Chest, July 1, 2006; 130(1): 214 - 217.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
D. S. Wilkes, T. M. Egan, and H. Y. Reynolds
Lung Transplantation: Opportunities for Research and Clinical Advancement
Am. J. Respir. Crit. Care Med., October 15, 2005; 172(8): 944 - 955.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
L. Seoane, L. M. Arcement, V. G. Valentine, and P. M. McFadden
Long-term survival in lung transplant recipients after successful preoperative coronary revascularization
J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 538 - 541.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
T. G. Liou, F. R. Adler, and D. Huang
Use of Lung Transplantation Survival Models to Refine Patient Selection in Cystic Fibrosis
Am. J. Respir. Crit. Care Med., May 1, 2005; 171(9): 1053 - 1059.
[Abstract] [Full Text] [PDF]

Home page
 Nutr Clin PractHome page
C. Tynan and J. M. Hasse
Current Nutrition Practices in Adult Lung Transplantation
Nutr Clin Pract, December 1, 2004; 19(6): 587 - 596.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2004 by the American College of Chest Physicians.