Download presentation
Presentation is loading. Please wait.
Published byAbigail Dillon Modified over 10 years ago
1
LUNG TRANSPLANTATION Overall 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
2
NUMBER OF LUNG TRANSPLANTS REPORTED BY YEAR AND PROCEDURE TYPE NOTE: This figure includes only the lung transplants that are reported to the ISHLT Transplant Registry. As such, this should not be construed as representing changes in the number of lung transplants performed worldwide. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
3
AVERAGE CENTER VOLUME Lung Transplants: January 1, 2000 - June 30, 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
4
DISTRIBUTION OF TRANSPLANTS BY CENTER VOLUME Lung Transplants: January 1, 2000 - June 30, 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
5
LUNG TRANSPLANTS: Transplant Recipient Age by Year of Transplant Transplants: January 1, 1987 – June 30, 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
6
AGE DISTRIBUTION OF LUNG TRANSPLANT RECIPIENTS (1/1985-6/2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
7
AGE DISTRIBUTION OF LUNG TRANSPLANT RECIPIENTS BY ERA Transplants with unknown recipient age were excluded from this tabulation. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
8
LUNG TRANSPLANTS: Donor Age by Year of Transplant Transplants: January 1, 1987 – June 30, 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
9
DONOR AGE DISTRIBUTION FOR LUNG TRANSPLANTS (1/1985-6/2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
10
DONOR AGE DISTRIBUTION FOR LUNG TRANSPLANTS BY ERA Transplants with unknown donor age were excluded from this tabulation. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
11
LUNG TRANSPLANTATION Adult Recipients 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
12
AGE DISTRIBUTION OF ADULT LUNG TRANSPLANT RECIPIENTS (1/1985-6/2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
13
AGE DISTRIBUTION OF ADULT LUNG TRANSPLANT RECIPIENTS BY ERA 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
14
AGE DISTRIBUTION OF ADULT LUNG TRANSPLANT RECIPIENTS BY ERA 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
15
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival (Transplants: January 1994 - June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
16
ADULT LUNG TRANSPLANTATION: Indications (1/1995-6/2009) DIAGNOSISSLT (N = 10,925)BLT (N = 15,013)TOTAL (N = 25,938) COPD/Emphysema5,249 ( 48.0% )3,967 ( 26.4% )9,216 ( 35.5% ) Idiopathic Pulmonary Fibrosis3,371 ( 30.9% )2,369 ( 15.8% )5,740 ( 22.1% ) Cystic Fibrosis197 ( 1.8% )3,964 ( 26.4% )4,161 ( 16.0% ) Alpha-1678 ( 6.2% )1,104 ( 7.4% )1,782 ( 6.9% ) Idiopathic Pulmonary Arterial Hypertension75 ( 0.7% )768 ( 5.1% )843 ( 3.3% ) Sarcoidosis221 ( 2.0% )448 ( 3.0% )669 ( 2.6% ) Bronchiectasis46 ( 0.4% )662 ( 4.4% )708 ( 2.7% ) LAM96 ( 0.9% )178 ( 1.2% )274 ( 1.1% ) Congenital Heart Disease34 ( 0.3% )195 ( 1.3% )229 ( 0.9% ) Re-Transplant: Obliterative Bronchiolitis209 ( 1.9% )173 ( 1.2% )382 ( 1.5% ) Obliterative Bronchiolitis (Not Re-Transplant) 57 ( 0.5% )174 ( 1.2% )231 ( 0.9% ) Re-Transplant: Not Obliterative Bronchiolitis114 ( 1.0% )140 ( 0.9% )254 ( 1.0% ) Connective Tissue Disease73 ( 0.7% )144 ( 1.0% )217 ( 0.8% ) Cancer5 ( 0.0% )19 ( 0.1% )24 ( 0.1% ) Other500 ( 4.6% )708 ( 4.7% )1,208 ( 4.7% ) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
17
ADULT LUNG TRANSPLANTATION: Distribution of Procedure Type for Major Indications (1993-2008) Year of TX Alpha-1COPDCystic FibrosisIPFIPAH DoubleSingleDoubleSingleDoubleSingleDoubleSingleDoubleSingle 199338.761.316.084.094.95.116.583.553.846.2 199443.057.018.981.186.113.914.086.063.536.5 199545.954.121.478.690.19.928.072.089.310.7 199647.352.726.972.987.013.027.472.682.018.0 199746.453.626.373.792.57.521.878.290.010.0 199848.551.529.071.092.77.320.080.086.813.2 199947.053.028.171.790.89.222.976.786.213.8 200057.742.329.270.894.75.331.768.392.77.3 200160.139.928.571.594.06.030.769.390.010.0 200256.643.438.661.496.23.835.264.889.910.1 200365.434.642.657.495.24.841.958.195.54.5 200473.925.445.454.696.23.844.655.494.55.5 200578.022.049.850.197.72.346.453.690.69.4 200676.323.758.541.399.20.849.450.6100.00.0 200786.913.164.835.297.12.948.951.194.06.0 200880.619.465.834.297.82.252.048.094.75.3 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
18
ADULT LUNG TRANSPLANTATION Procedure Type within Indication, by Year 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
19
ADULT LUNG TRANSPLANTATION: Indications for Single Lung Transplants (Transplants: January 1995 - June 2009) *Other includes: Sarcoidosis: 2.0% Bronchiectasis: 0.4% Congenital Heart Disease: 0.3% LAM: 0.9% OB (non-ReTx): 0.5% Miscellaneous:5.3% 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
20
ADULT LUNG TRANSPLANTATION: Indications for Bilateral/Double Lung Transplants (Transplants: January 1995 - June 2009) *Other includes: Sarcoidosis: 3.0% Bronchiectasis: 4.4% Congenital Heart Disease: 1.3% LAM: 1.2% OB (non-ReTx): 1.2% Miscellaneous:5.8% 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
21
ADULT LUNG TRANSPLANTATION Major Indications By Year (%) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
22
ADULT LUNG TRANSPLANTATION Major Indications By Year (Number) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
23
ADULT LUNG TRANSPLANTS: AGE DISTRIBUTION BY LOCATION Transplants between January 2000 and June 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
24
ADULT LUNG TRANSPLANTS: DIAGNOSIS DISTRIBUTION BY LOCATION Transplants between January 2000 and June 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
25
ADULT LUNG TRANSPLANTS: DONOR AGE DISTRIBUTION BY LOCATION Transplants between January 2000 and June 2009 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
26
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Era (Transplants: January 1988 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
27
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Age Group (Transplants: January 1990 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
28
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Gender (Transplants: January 1990 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
29
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival By Diagnosis (Transplants: January 1990 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
30
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival By Diagnosis Conditional on Survival to 3 Months (Transplants: January 1990 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
31
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival By Diagnosis Conditional on Survival to 1 Year (Transplants: January 1990 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
32
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival for Eisenmengers Syndrome (Transplants: January 1990 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
33
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival By Procedure Type (Transplants: January 1990 – June 2008) Diagnosis: Alpha-1 Antitrypsin Deficiency 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
34
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival By Procedure Type and Age (Transplants: January 1990 – June 2008) Diagnosis: Alpha-1 Antitrypsin Deficiency 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
35
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type (Transplants: January 1990 – June 2008) Diagnosis: Emphysema/COPD 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
36
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type and Age (Transplants: January 1990 – June 2008) Diagnosis: Emphysema/COPD 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
37
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type (Transplants: January 1990 – June 2008) Diagnosis: Idiopathic Pulmonary Fibrosis 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
38
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type (Transplants: January 1990 – June 2008) Diagnosis: Idiopathic Arterial Pulmonary Hypertension 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
39
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type and Era (Transplants: January 1990 – June 2008) Diagnosis: Emphysema/COPD, Single Lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
40
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type and Era (Transplants: January 1990 – June 2008) Diagnosis: Emphysema/COPD, Double Lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
41
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type and Era (Transplants: January 1990 – June 2008) Diagnosis: Idiopathic Pulmonary Fibrosis, Single Lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
42
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type and Era (Transplants: January 1990 – June 2008) Diagnosis: Idiopathic Pulmonary Fibrosis, Double Lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
43
ADULT LUNG TRANSPLANTATION Kaplan-Meier Survival by Donor CMV status/Recipient CMV status (Transplants: October 1999 – June 2008) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
44
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Donor/Recipient CMV status (Follow-ups: July 2004 - June 2009) D(-)/R(-): N = 866 D(-)/R(+): N = 1,106 D(+)/R(-): N = 1,218 D(+)/R(+): N = 1,987 No comparisons were statistically significant at 0.05 Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti- rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
45
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Donor/Recipient CMV status (Follow-ups: July 2004 - June 2009) 18-3435-4950-5960-6566+FemaleMale No comparisons were statistically significant at 0.05 except 50-59: D(+)/R(-) vs. D(+)/R(+) (p=0.0385) Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti- rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
46
ADULT LUNG TRANSPLANTS (1996-6/2008) Risk Factors for 1 Year Mortality (N=13,079) *Other = All diagnoses other than COPD, IPAH, IPF, cystic fibrosis, pulmonary fibrosis, bronchiectasis, alpha-1 antitrypsin deficiency, retransplant and LAM. Reference group = COPD/Emphysema, Single lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
47
ADULT LUNG TRANSPLANTS (1996-6/2008) Risk Factors for 1 Year Mortality (N=13,079) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
48
ADULT LUNG TRANSPLANTS (1996-6/2008) Risk Factors for 1 Year Mortality (N=13,079) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
49
ADULT LUNG TRANSPLANTS (1996-6/2008) Borderline Significant Risk Factors for 1 Year Mortality (N=13,079) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
50
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
51
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Recipient Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
52
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Center Volume 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
53
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Recipient Pre-Transplant Bilirubin 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
54
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Recipient Oxygen Required at Rest 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
55
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Recipient Pre-Transplant Cardiac Output 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
56
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Height Difference 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
57
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Recipient FEV1 (% predicted) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
58
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Risk Factors for 1 Year Mortality Recipient FVC (% predicted) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
59
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Risk Factors for 1 Year Mortality (N=4,918) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
60
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Borderline Significant Risk Factors for 1 Year Mortality (N=4,918) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
61
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Risk Factors for 1 Year Mortality 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
62
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Risk Factors for 1 Year Mortality Recipient Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
63
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Risk Factors for 1 Year Mortality Center Volume 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
64
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Risk Factors for 1 Year Mortality Recipient Oxygen Required at Rest 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
65
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = COPD/Emphysema Risk Factors for 1 Year Mortality Recipient Pre-Transplant Cardiac Output 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
66
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality (N=3,124) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
67
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
68
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Recipient Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
69
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Donor Weight 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
70
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Recipient O 2 Required at Rest 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
71
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Center volume 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
72
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Ischemia Time 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
73
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Recipient Bilirubin 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
74
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Recipient FVC (% predicted) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
75
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Recipient Pre-Transplant Cardiac Output 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
76
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Recipient Creatinine at Transplant 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
77
ADULT LUNG TRANSPLANTS (1/1996-6/2008) Diagnosis = IPF Risk Factors for 1 Year Mortality Height Difference 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
78
ADULT LUNG TRANSPLANTS (1996-6/2004) Risk Factors for 5 Year Mortality (N=7,609) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
79
ADULT LUNG TRANSPLANTS (1996-6/2004) Risk Factors for 5 Year Mortality (N=7,609) Reference group = COPD/Emphysema, Single lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
80
ADULT LUNG TRANSPLANTS (1996-6/2004) Risk Factors for 5 Year Mortality (N=7,609) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
81
ADULT LUNG TRANSPLANTS (1996-6/2004) Borderline Significant Risk Factors for 5 Year Mortality (N=7,609) *Other = All diagnoses other than COPD, IPAH, IPF, cystic fibrosis, pulmonary fibrosis, bronchiectasis, alpha-1 antitrypsin deficiency, retransplant and LAM. Reference diagnosis group = COPD/Emphysema, Single lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
82
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
83
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Recipient Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
84
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Donor Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
85
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Center Volume 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
86
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Recipient Pre-Transplant Bilirubin 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
87
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Recipient Oxygen Required at Rest 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
88
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Recipient FEV1 (% predicted) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
89
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Recipient Pre-Transplant Cardiac Output 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
90
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Recipient Height 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
91
ADULT LUNG TRANSPLANTS (1996-6/2004) Risk Factors for 5 Year Mortality Conditional on Survival to 1 Year (N=5,769) Reference group = COPD/Emphysema, Single lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
92
ADULT LUNG TRANSPLANTS (1996-6/2004) Risk Factors for 5 Year Mortality Conditional on Survival to 1 Year (N=5,769) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
93
ADULT LUNG TRANSPLANTS (1996-6/2004) Risk Factors for 5 Year Mortality Conditional on Survival to 1 Year (N=5,769) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
94
ADULT LUNG TRANSPLANTS (1996-6/2004) Borderline Significant Risk Factors for 5 Year Mortality Conditional on Survival to 1 Year (N=5,769) *Other = All diagnoses other than COPD, IPAH, IPF, cystic fibrosis, pulmonary fibrosis, bronchiectasis, alpha-1 antitrypsin deficiency, retransplant and LAM. Reference group = COPD/Emphysema, Single lung 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
95
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on Survival to 1 Year 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
96
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Recipient Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
97
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Center Volume 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
98
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Height Difference 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
99
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Donor Age 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
100
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Recipient Height 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
101
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Recipient Pre-Transplant Cardiac Output 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
102
ADULT LUNG TRANSPLANTS (1/1996-6/2004) Risk Factors for 5 Year Mortality Conditional on 1 Year Survival Recipient FEV1 (% predicted) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
103
ADULT LUNG RECIPIENTS Cross-Sectional Analysis Functional Status of Surviving Recipients (Follow-ups: April 1994 – June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
104
ADULT LUNG RECIPIENTS Longitudinal Analysis Functional Status of Surviving Recipients (Follow-ups: April 1994 – June 2009) For the Same Patients 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
105
ADULT LUNG RECIPIENTS Functional Status of Surviving Recipients (Follow-ups: March 2005 - June 2009) US Recipients Only 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
106
ADULT LUNG RECIPIENTS Employment Status of Surviving Recipients (Follow-ups: April 1994 – June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
107
ADULT LUNG RECIPIENTS: Rehospitalization Post-transplant of Surviving Recipients (Follow-ups: April 1994 - June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
108
ADULT LUNG RECIPIENTS Induction Immunosuppression (Transplants: January 2002 - June 2009) Analysis limited to patients receiving prednisone Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
109
ADULT LUNG RECIPIENTS Induction Immunosuppression (Transplants: 1997, 2002 and 1/2009-6/2009) Analysis limited to patients receiving prednisone Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
110
ADULT LUNG RECIPIENTS Induction Immunosuppression (Transplants: January 2000 - December 2008) Analysis limited to patients receiving prednisone Any Induction Polyclonal ALG/ATG IL2R-antagonist Campath Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
111
SURVIVAL BY INDUCTION USAGE For Adult Lung Recipients (Transplants: April 1994-June 2008) Conditional on survival to 14 days 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
112
SURVIVAL BY INDUCTION USAGE For Adult Lung Recipients (Transplants: January 2000-June 2008) Conditional on survival to 14 days 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
113
ADULT LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2002 through June 2009 Analysis limited to patients receiving prednisone NOTE: Different patients are analyzed in Year 1 and Year 5 Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
114
ADULT LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2002 through June 2009 Analysis limited to patients receiving prednisone NOTE: Different patients are analyzed in Year 1 and Year 5 Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
115
ADULT LUNG RECIPIENTS Maintenance Immunosuppression at Time of 1 Year Follow-up (Follow-ups: 2000, 2003, 7/2008 – 6/2009) Analysis limited to patients receiving prednisone NOTE: Different patients are analyzed in each time frame. Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
116
ADULT LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2002 through June 2009 Analysis limited to patients receiving prednisone 1 Year Follow-up (N =7,234)5 Year Follow-up (N = 3,021) NOTE: Different patients are analyzed in Year 1 and Year 5 Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
117
ADULT LUNG RECIPIENTS Maintenance Immunosuppression Drug Combinations at Time of Follow-up For follow-ups between January 2002 through June 2009 Analysis limited to patients receiving prednisone Analysis is limited to patients who were alive at the time of the follow-up 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
118
ADULT LUNG RECIPIENTS Kaplan-Meier Survival by Maintenance Immunosuppression Combinations Conditional on Survival to 1 Year (Transplants: January 2000-June 2008) Analysis limited to patients receiving prednisone 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
119
ADULT LUNG RECIPIENTS Kaplan-Meier Survival by Maintenance Immunosuppression Combinations Conditional on Survival to 1 Year (Transplants: January 2000-June 2008) Analysis limited to patients receiving prednisone Diagnosis: COPD/Emphysema 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
120
ADULT LUNG RECIPIENTS Kaplan-Meier Survival by Maintenance Immunosuppression Combinations Conditional on Survival to 1 Year (Transplants: January 2000-June 2008) Analysis limited to patients receiving prednisone Diagnosis: Idiopathic Pulmonary Fibrosis 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
121
ADULT LUNG RECIPIENTS Kaplan-Meier Survival by Maintenance Immunosuppression Combinations Conditional on Survival to 1 Year (Transplants: January 2000-June 2008) Analysis limited to patients receiving prednisone Diagnosis: Cystic Fibrosis 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
122
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up (Follow-ups: July 1, 2004 - June 30, 2009) Analysis is limited to patients who were alive at the time of the follow-up Overall: N = 5,672 18-34: N = 787 35-49: N = 1,005 50-59: N = 1,937 60-65: N = 1,514 66+: N = 429 Female: N = 2,540 Male: N = 3,132 Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
123
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Type of Induction (Follow-ups: July 1, 2004 - June 30, 2009) No induction: N = 2,624 Polyclonal: N = 502 IL2R- antagonist: N = 2,142 Campath: N = 358 Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti- rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
124
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Type of Induction (Follow-ups: July 1, 2004 - June 30, 2009) 18-34: no induct vs. IL2 (p=0.0164); poly vs. IL2R (p=0.007); IL2R vs. Campath (p=0.0084) 35-49: no induct vs. Campath (p=0.0310); IL2R vs. Campath (p=0.0112; 50-59: no induct vs. IL2R (p=0.0005); 60-65: no induct vs. IL2R (p=0.0018); no induct vs. Campath (p=0.0100) 66+: no induct vs. poly (p=0.0014); poly vs. IL2 (p<0.0001); poly vs. Campath (p<0.0001) Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
125
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Type of Induction (Follow-ups: July 1, 2004 - June 30, 2009) Female: no induct vs. IL2R (p=0.0032); IL2R vs. Campath (p=0.0152) Male: no induct vs.IL2R (p<0.0001); poly vs. IL2R (p = 0.0011) Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti- rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
126
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Maintenance Immunosuppression (Follow-ups: July 1, 2004 - June 30, 2009) Cyclosporine + MMF: N = 371 Cyclosporine + AZA: N = 555 Tacrolimus + MMF: N = 2,476 Tacrolimus + AZA: N = 1,448 Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
127
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Maintenance Immunosuppression (Follow-ups: July 1, 2004 - June 30, 2009) All age groups: all comparisons with CyA + AZA are significant at 0.02 except 35-49: CyA + AZA vs. CyA+ MMF (p=0.1033) and 66+: CyA + AZA vs. CyA + MMF (p=0.0850) 35-49: CyA + MMF vs. TAC + MMF( p=0.0260); CyA + MMF vs. TAC + AZA (p=0.0253) 50-59: CyA + MMF vs. TAC + MMF (p=0.0076) 60-65: CyA + MMF vs. TAC + MMF (p=0.0078); TAC + MMF vs. TAC + AZA (p=0.0022) 66+: TAC + MMF vs. TAC + AZA (p=0.0301) Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti- rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
128
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 1-Year Follow-Up Stratified by Maintenance Immunosuppression (Follow-ups: July 1, 2004 - June 30, 2009) Females: all comparisons are statistically significant at 0.01 except CyA + MMF vs. TAC + AZA (p=0.2562) Males: all comparisons were statistically significant at 0.01 except CyA +MMF vs. TAC + AZA (p=0.0590) and TAC + MMF vs. TAC + AZA (p=0.0922) Analysis is limited to patients who were alive at the time of the follow-up Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti- rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
129
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 3-Year Follow-Up Stratified by Maintenance Immunosuppression (Follow-ups: July 1, 2004 - June 30, 2009) Cyclosporine + MMF: N = 188 Cyclosporine + AZA: N = 289 Tacrolimus + MMF: N = 909 Tacrolimus + AZA: N = 678 Analysis is limited to patients with rejection or no rejection reported on all three annual follow-ups through 3 years Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
130
PERCENTAGE OF ADULT LUNG TRANSPLANT RECIPIENTS Experiencing Rejection between Transplant Discharge and 3-Year Follow-Up Stratified by Maintenance Immunosuppression (Follow-ups: July 1, 2004 - June 30, 2009) All age groups and genders: all comparisons with CyA + AZA are significant at 0.02 except 35-49: CyA + AZA vs. CyA+ MMF (p=0.6121) and 66+: CyA + AZA vs. CyA + MMF (p=0.1044) 35-49: CyA + MMF vs. TAC + MMF (p=0.0515); CyA + MMF vs. TAC + AZA (p=0.0368); Analysis is limited to patients with rejection or no rejection reported on all three annual follow-ups through 3 years Treated rejection = Recipient was reported to (1) have at least one acute rejection episode that was treated with an anti-rejection agent; or (2) have been hospitalized for rejection. No rejection = Recipient had (i) no acute rejection episodes and (ii) was reported either as not hospitalized for rejection or did not receive anti-rejection agents. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
131
POST-LUNG TRANSPLANT MORBIDITY FOR ADULTS Cumulative Prevalence in Survivors within 1 Year Post-Transplant (Follow-ups: April 1994 - June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
132
POST-LUNG TRANSPLANT MORBIDITY FOR ADULTS Cumulative Prevalence in Survivors within 1 and 5 Years Post-Transplant (Follow-ups: April 1994 - June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
133
POST-LUNG TRANSPLANT MORBIDITY FOR ADULTS Cumulative Prevalence in Survivors within 10 Years Post-Transplant (Follow-ups: April 1994 - June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
134
FREEDOM FROM BRONCHIOLITIS OBLITERANS SYNDROME For Adult Lung Recipients (Follow-ups: April 1994-June 2009) Conditional on Survival to 14 days 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
135
FREEDOM FROM BRONCHIOLITIS OBLITERANS SYNDROME STRATIFIED BY INDUCTION USE For Adult Lung Recipients (Follow-ups: April 1994-June 2009) Conditional on Survival to 14 days 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
136
FREEDOM FROM BRONCHIOLITIS OBLITERANS SYNDROME Stratified by Donor CMV Status/Recipient CMV Status For Adult Lung Recipients (Follow-ups: April 1994-June 2009) Conditional on Survival to 14 days 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
137
FREEDOM FROM SEVERE RENAL DYSFUNCTION* For Adult Lung Recipients (Follow-ups: April 1994-June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
138
MALIGNANCY POST-LUNG TRANSPLANTATION FOR ADULTS Cumulative Prevalence in Survivors (Follow-ups: April 1994 - June 2009) Malignancy/Type1-Year Survivors5-Year Survivors10-Year Survivors No Malignancy 12,669 (96.4%)3,406 (87.0%)451 (71.8%) Malignancy (all types combined) 470 (3.6%)510 (13.0%)177 (28.2%) Malignancy Type* Skin 127306114 Lymph 1957231 Other 12915852 Type Not Reported 1980 * Recipients may have experienced more than one type of malignancy so sum of individual malignancy types may be greater than total number with malignancy. Other malignancies reported include: adenocarcinoma (2; 2; 1), bladder (2; 1; 0), lung (2; 4; 0), breast (1; 5; 2); prostate (0; 5; 1), cervical (1; 1; 0); liver (1; 1; 1); colon (1; 1; 0). Numbers in parentheses represent the number of reported cases within each time period. 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
139
FREEDOM FROM MALIGNANCY For Adult Lung Recipients (Follow-ups: April 1994-June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
140
ADULT LUNG TRANSPLANT RECIPIENTS: Cause Of Death (Deaths: January 1992- June 2009) CAUSE OF DEATH 0-30 Days (N = 1,966) 31 Days – 1 Year (N = 3,387) >1 Year – 3 Years (N = 3,073) >3 Years – 5 Years (N = 1,737 ) >5 Years – 10 Years (N = 2,014) >10 Years (N = 483) BRONCHIOLITIS6 (0.3%)159 (4.7%)781 (25.4%)508 (29.2%)507 (25.2%)95 (19.7%) ACUTE REJECTION74 (3.8%)61 (1.8%)48 (1.6%)10 (0.6%)15 (0.7%)1 (0.2%) LYMPHOMA1 (0.1%)86 (2.5%)63 (2.1%)28 (1.6%)46 (2.3%)23 (4.8%) MALIGNANCY, OTHER4 (0.2%)100 (3.0%)202 (6.6%)151 (8.7%)219 (10.9%)47 (9.7%) CMV096 (2.8%)29 (0.9%)5 (0.3%)4 (0.2%)0 INFECTION, NON-CMV396 (20.1%)1,205 (35.6%)710 (23.1%)329 (18.9%)363 (18.0%)81 (16.8%) GRAFT FAILURE557 (28.3%)589 (17.4%)591 (19.2%)327 (18.8%)379 (18.8%)87 (18.0%) CARDIOVASCULAR213 (10.8%)144 (4.3%)118 (3.8%)82 (4.7%)99 (4.9%)36 (7.5%) TECHNICAL162 (8.2%)76 (2.2%)18 (0.6%)8 (0.5%)12 (0.6%)6 (1.2%) OTHER553 (28.1%)871 (25.7%)513 (16.7%)289 (16.6%)370 (18.4%)107 (22.2%) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
141
ADULT LUNG TRANSPLANT RECIPIENTS: Relative Incidence of Leading Causes of Death (Deaths: January 1992 - June 2009) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
142
ADULT LUNG TRANSPLANT RECIPIENTS: Cause Of Death Stratified by Donor CMV Status/Recipient CMV Status (Deaths: January 1992- June 2009) Donor CMV Status/ Recipient CMV Status Cause of Death0-30 Days 31 Days – 1 Year >1 Year – 3 Years >3 Years – 5 Years >5 Years – 10 Years >10 Years D(-)/R(-) (N=1,421) BRONCHIOLITIS1 (0.5%)22 (6.3%)88 (24.6%)68 (32.4%)61 (24.0%)14 (21.5%) INFECTION, NON-CMV31 (16.9%)123 (35.0%)86 (24.0%)39 (18.6%)35 (13.8%)12 (18.5%) GRAFT FAILURE56 (30.6%)70 (19.9%)73 (20.4%)44 (21.0%)50 (19.7%)10 (15.4%) D(-)/R(+) (N=2,106) BRONCHIOLITIS3 (1.1%)26 (5.5%)126 (25.2%)89 (25.7%)111 (26.7%)20 (19.2%) INFECTION, NON-CMV56 (20.8%)188 (39.8%)122 (24.4%)81 (23.4%)67 (16.1%)20 (19.2%) GRAFT FAILURE81 (30.1%)78 (16.5%)94 (18.8%)58 (16.8%)86 (20.7%)20 (19.2%) D(+)/R(-) (N=1,741) BRONCHIOLITIS014 (2.6%)108 (24.0%)60 (25.6%)60 (24.8%)3 (5.8%) INFECTION, NON-CMV42 (18.3%)200 (37.5%)103 (22.9%)41 (17.5%)47 (19.4%)13 (25.0%) GRAFT FAILURE66 (28.8%)109 (20.4%)101 (22.4%)54 (23.1%)56 (23.1%)9 (17.3%) D(+)/R(+) (N=3,130) BRONCHIOLITIS1 (0.2%)40 (5.2%)196 (24.1%)129 (26.9%)118 (21.9%)22 (18.0%) INFECTION, NON-CMV81 (19.8%)280 (36.4%)188 (23.2%)92 (19.2%)94 (17.4%)16 (13.1%) GRAFT FAILURE128 (31.3%)164 (21.3%)153 (18.8%)98 (20.5%)112 (20.8%)28 (23.0%) 2010 ISHLT J Heart Lung Transplant. 2010 Oct; 29 (10): 1083-1141
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.