Article Text

Download PDFPDF
Lung allocation: a vexed, complex multifaceted challenge
  1. Andrew Fisher1,
  2. Jasvir Parmar2
  1. 1 Transplantation, Newcastle University School of Clinical Medical Sciences, Newcastle upon Tyne, UK
  2. 2 Cardiothoracic Transplantation, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Dr Jasvir Parmar, Cardiothoracic Transplantation, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK; jas.parmar{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

We read with interest the paper from Roussel et al.1 In this study, the authors examine the outcomes for lung transplant recipients who were allocated donor organs in two very different healthcare systems. Their findings raise the complex and vexed question of what the fairest system for the allocation donor lungs is, especially for those candidates identified as being at the highest risk of waiting list mortality. There are a myriad of different allocation systems in operation across the world, which highlights the complex interplay between medical need, the ethical, legal and societal issues that shape national organ allocation policies.2 3

The paper examines two large national databases over a 10-year period to compare lung transplant outcomes in the French and US systems. The French national lung allocation programme is similar to the UK lung allocation …

View Full Text


  • Contributors AF helped with the authoring. JP authored the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

Linked Articles

  • Lung transplantation
    Arnaud Roussel Edouard Sage Pierre-Emmanuel Falcoz Pascal Alexandre Thomas Yves Castier Elie Fadel Françoise Le Pimpec-Barthes François Tronc Jacques Jougon Philippe Lacoste Johanna Claustre Laurent Brouchet Richard Dorent Edward Cantu Michael Harhay Raphaël Porcher Pierre Mordant