Proposal for Adolescent Classification Exception for Pediatric Lung Candidates

Thoracic Organ Transplantation CommitteeSpring 2014

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

The Problem

Reduce waiting list mortality rates for pediatric lung candidates

Gain a better understanding of the relationship between the LAS and pediatric candidates

Goal of the Proposal

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

How the Proposal will Achieve its Goal

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

Supporting Evidence

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

What Members Will Need to Do

*No additional registration fee

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

Questions?