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Proposal for Adolescent Classification Exception for Pediatric Lung Candidates

Proposal for Adolescent Classification Exception for Pediatric Lung Candidates. Thoracic Organ Transplantation Committee Spring 2014. The Problem. Some young pediatric lung candidates are large enough to accept lungs from donors 12 and older, but do not have priority

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Proposal for Adolescent Classification Exception for Pediatric Lung Candidates

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  1. Proposal for Adolescent Classification Exception for Pediatric Lung Candidates Thoracic Organ Transplantation Committee Spring 2014

  2. The Problem • Some young pediatric lung candidates are large enough to accept lungs from donors 12 and older, but do not have priority • Adolescent classification exception gives pediatric lung candidates access to larger sized donors • Adolescent classification exception policy expires July 1, 2014

  3. Goal of the Proposal • Reduce waiting list mortality rates for pediatric lung candidates • Gain a better understanding of the relationship between the LAS and pediatric candidates

  4. How the Proposal will Achieve its Goal • Centers can continue to apply for adolescent classification exceptions for young pediatric lung candidates • Must report all LAS data for candidates less than 12 with approved adolescent classification exceptions

  5. Supporting Evidence • 10 candidates with approved adolescent classification exception since June 2013 • 5 transplanted, 4 still waiting, 1 died • Age at time of exception request • 7 were 10-11 years old, 3 were 6-9 years old • Blood type • 6 O, 2 A, 2 B • Diagnoses • 6 CF, 2 primary arterial hypertension, 1 ARDS/pneumonia, 1 pulmonary veno-occlusive disease • LAS score exception request • 4 requests for LAS score exception

  6. What Members Will Need to Do • Centers can apply for adolescent classification exceptions for young pediatric candidates • Must maintain pediatric and adolescent records for candidates with approved adolescent classification exceptions* • Must report all LAS variables for candidates with an adolescent classification exception *No additional registration fee

  7. Questions? • Steven Webber, M.D., MBChB, MRCP Committee Chair steven.a.webber@vanderbilt.edu • Name Region # Representativename@email • Liz Robbins Callahan Committee Liaison liz.robbins@unos.org

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