Journal article
Starting a lung transplant program: a roadmap for long-term excellence
Chest, Vol.147(5), pp.1435-1443
05/2015
DOI: 10.1378/chest.14-2241
PMCID: PMC4420186
PMID: 25940255
Abstract
Lung transplantation is an effective therapy for many patients with end-stage lung disease. Few centers across the United States offer this therapy, as a successful lung transplant program requires significant institutional resources and specialized personnel. Analysis of the United Network of Organ Sharing database reveals that the failure rate of new programs exceeds 40%. These data suggest that an accurate assessment of program viability as well as a strategy to continuously assess defined quality measures is needed. As part of strategic planning, regional availability of recipient and donors should be assessed. Additionally, analysis of institutional expertise at the physician, support staff, financial, and administrative levels is necessary. In May of 2007, we started a new lung transplant program at the University of Iowa Hospitals and Clinics and have performed 101 transplants with an average recipient 1-year survival of 91%, placing our program among the top in the country for the past 5 years. Herein, we review internal and external factors that impact the viability of a new lung transplant program. We discuss the use of four prospectively identified quality measures: volume, recipient outcomes, financial solvency, and academic contribution as one approach to achieve programmatic excellence.
Details
- Title: Subtitle
- Starting a lung transplant program: a roadmap for long-term excellence
- Creators
- Julia Klesney-Tait - Department of Internal Medicine, University of Iowa Carver College of Medicine. Electronic address: julia-klesney-tait@uiowa.eduMichael Eberlein - Department of Internal Medicine, University of Iowa Carver College of MedicineLois Geist - Department of Internal Medicine, University of Iowa Carver College of Medicine; Veterans Affairs Medical Center, Iowa City, IAJohn Keech - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine; Veterans Affairs Medical Center, Iowa City, IAJoseph Zabner - Department of Internal Medicine, University of Iowa Carver College of MedicinePeter J Gruber - Department of Cardiothoracic Surgery, University of Iowa Carver College of MedicineMark D Iannettoni - Department of Cardiovascular Sciences, East Carolina University, Greenville, NCKalpaj Parekh - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine; Veterans Affairs Medical Center, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Chest, Vol.147(5), pp.1435-1443
- Publisher
- United States
- DOI
- 10.1378/chest.14-2241
- PMID
- 25940255
- PMCID
- PMC4420186
- ISSN
- 0012-3692
- eISSN
- 1931-3543
- Grant note
- K08 HL114725 / NHLBI NIH HHS K08 HL114725-01 / NHLBI NIH HHS 234-2005-37011C / PHS HHS 2UL1TR000442-06 / NCATS NIH HHS UL1 RR024979 / NCRR NIH HHS UL1 TR000442 / NCATS NIH HHS P30 DK054759 / NIDDK NIH HHS 3UL1RR024979-03S3 / NCRR NIH HHS
- Language
- English
- Date published
- 05/2015
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Anatomy and Cell Biology; Surgery; Provost Office Administration; Cardiothoracic Surgery; Internal Medicine
- Record Identifier
- 9984025467102771
Metrics
16 Record Views