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Ann Thorac Surg 2005;79:957-958
© 2005 The Society of Thoracic Surgeons

INVITED COMMENTARY

Bryan Meyers, MD

Department of Cardiothoracic Surgery, Washington University School of Medicine, 3108 Queeny Tower, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63110–1013

(E-mail: meyersb@msnotes.wustl.edu).

The first 20% of the full text of this article appears below.

Meyer and colleagues present an analysis of the United Network of Organ Sharing database regarding outcomes after lung transplantation for pulmonary fibrosis (PF) with special attention given to the association between transplant type and survival. The authors point out that a simple comparison of the procedures would be biased because the two operations were not applied randomly but were at the discretion of the treating surgeons, in part due to differences in recipient characteristics. Notably, the bilateral sequential lung transplantation (BSLT) patients are younger but have higher pulmonary artery (PA) pressures and lower forced expiratory volume in 1 second (FEV1) scores. The authors concluded that patients < 60 years of age transplanted for PF appear to have better survival with single-lung transplantation (SLT) than with BSLT.

In the results, in the multivariable logistic regression model for 30-day survival in Table 4, the authors state that no advantage to BSLT in this patient population could be found. The . . . [Full Text of this Article]


Related Article

Impact of Recipient Age and Procedure Type on Survival After Lung Transplantation for Pulmonary Fibrosis
Dan M. Meyer, Leah Bennett Edwards, Fernando Torres, Michael E. Jessen, and Richard J. Novick
Ann. Thorac. Surg. 2005 79: 950-957. [Abstract] [Full Text] [PDF]





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