The Registry of the International Society for Heart and Lung Transplantation: Thirty-third Adult Lung and Heart–Lung Transplant Report—2016; Focus Theme: Primary Diagnostic Indications for Transplant
Section snippets
Data collection, conventions and statistical methods
National and multinational organ/data exchange organizations and individual centers submit data to the ISHLT Registry. Since the Registry’s inception, 457 heart transplant centers,1, 2 253 lung transplant centers3 and 177 heart–lung transplant centers have reported data to the Registry. In our estimation, data submission to the Registry represents approximately two thirds of the worldwide thoracic transplant activity.
This report presents an overview of donor and recipient characteristics and
Centers and transplant activity
The Registry now contains data from 55,795 adult lung transplants performed through June 2015. Of these, 53,522 (95.9%) had a primary lung transplantation and 2,273 (4.1%) had a lung retransplant. Data were submitted from 134 participating transplant centers for a total of 3,973 adult lung transplantation procedures performed in 2014 (eSlide LU 4). Figure 1 shows the number of reported adult lung transplants by year for the major primary diagnostic categories, and Table A (see Supplementary
Centers and transplant activity
The Registry now contains data from 3,879 adult heart–lung transplants that occurred through June 30, 2015. The relatively low volume of adult heart–lung transplants performed in the past decade (i.e., 49 to 92 transplants per year) and reported to the Registry probably reflects a combination of advances in non-transplant treatments and lower threshold to perform isolated heart or lung transplant where a combined heart–lung transplant may have been considered in the past (Figure 13; eSlide HL
Conclusions
Thanks to the data reporting efforts of participating transplant centers and collectives worldwide, this report provides comprehensive and current information regarding developments and challenges in adult lung and heart–lung transplantation. Over the decades, the number of lung transplants reported has increased while the number of heart–lung transplants reported has declined. When comparing different eras, survival for both transplant types has improved over time, mainly due to improved
Disclosure statement
All relevant disclosures for the Registry Director, Executive Committee Members and authors are on file with the ISHLT and can be made available for review by contacting the Executive Director of the ISHLT.
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