Klinisch II - P19 - Effect of recipient length and type of diagnosis on waiting time for lung transplantation candidates

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L.H. Rijsman, K. Aamri, R.C.A. Meijers, G. van Aarnhem, E.-J.D. Oudijk, J.M. Kwakkel-van Erp, E.A. van de Graaf, P. Zanen, B. Luijk

Chair(s): prof. dr. Herold Metselaar, MDL-arts, Erasmus MC Rotterdam

Thursday 10 march 2016

12:30 - 13:00h at Foyer

Categories: Postersessie

Parallel session: Postersessies XI - Opgesplitst in 3 tijdblokken en 3 categoriëen (klinisch, basaal, donatie)

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Introduction: 
Lung transplantation is used as a last option treatment for patients with an end-stage of their pulmonary disease such as cystic fibrosis (CF), pulmonary fibrosis (PF) or COPD. Previous studies suggest that lower recipient height causes increased waiting time and waiting list mortality. We hypothesized  that lower recipient length increases waiting list time.

Methods:
In the period from 2000 up to 2014 288 patients underwent  lung transplantation. Total waiting time and recipient length was retrieved from the ENIS database. Patients were divided in 3 length groups (<1,65cm,  between 165-175 cm and >175cm). Kaplan Meier curves were used for statistical analysis.

Results: 
The mean waiting time was 591days (SD±537days) and mean age was 51,4 years(SD 13,2).  Male/female distribution was unequally distributed in the 3 length groups. Between the different diagnosis groups there was a significant longer waiting time for CF and PF patients (p<0.004). Comparison of the 3 length groups did not show differences in waiting time.  Further analysis revealed that the CF male patients showed a prolonged waiting time (CF: CI  2180.764-2771.236).

Discussion:
We have found that there was no difference in waiting time for lung transplantation in the 3 different recipient length groups. However, diagnosis of CF and PF had a negative effect on the mean waiting time. Further analysis is warranted why the latter occurs.