Survival in pediatric lung transplantation: The effect of center volume and expertise

Survival in pediatric lung transplantation: The effect of center volume and expertise

Background Institutional operative volume has been shown to impact outcomes of various procedures including lung transplantation (LTx). We sought to determine whether this holds true with pediatric LTx by comparing outcomes of adult centers (with larger overall volume) to those of pediatric centers...

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Veröffentlicht in:The Journal of heart and lung transplantation 2015-08, Vol.34 (8), p.1073-1081
Hauptverfasser: Khan, Muhammad S., MD, Zhang, Wei, PhD, Taylor, Rachel A., BA, Dean McKenzie, E., MD, Mallory, George B., MD, Schecter, Marc G., MD, Morales, David L.S., MD, Heinle, Jeffrey S., MD, Adachi, Iki, MD
Format: Artikel
Sprache:eng
Schlagworte:
Adolescent
Adult
Age Factors
center volume
center-type
Child
Child, Preschool
Clinical Competence
Female
Graft Survival
Hospitals, High-Volume
Hospitals, Low-Volume
Humans
Lung Diseases - mortality
Lung Diseases - surgery
lung transplantation
Lung Transplantation - statistics & numerical data
Male
outcomes
pediatrics
Retrospective Studies
risk-factor analysis
Surgery
survival analysis
Survival Rate
Tissue and Organ Procurement - organization & administration
Treatment Outcome
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Zusammenfassung:Background Institutional operative volume has been shown to impact outcomes of various procedures including lung transplantation (LTx). We sought to determine whether this holds true with pediatric LTx by comparing outcomes of adult centers (with larger overall volume) to those of pediatric centers (with smaller volume but more pediatric-specific experience). Methods A retrospective analysis of the Organ Procurement and Transplant Network data was performed. Centers were categorized as either adult (LTx volume predominantly in adult patients), high-volume pediatric (HVP, ≥4 LTxs/year), or low-volume pediatric (LVP,
ISSN:1053-2498
1557-3117
DOI:10.1016/j.healun.2015.03.008