Some children under the age of 12 years may
now receive adult lung transplants after a year-long review by officials,
prompted by a temporary rule-change last year to save a 10-year-old girl.
by John
Tyburski
Copyright © Daily
Digest News, KPR Media, LLC. All rights reserved.
Last year,
10-year-old Sarah Murnaghan was dying and in need of a lung transplant.
However, the transplant of donor adult lungs into children under 12 was
something that the Organ Procurement andTransplantation Network (OPTN) was not considering. A special
provision was made that saved young Sarah’s life, and the OPTN launched a
year-long study to determine whether more children under 12 should be eligible
for adult lung transplants.
On Monday,
the OPTN announced that changes were made as a result of the study, and now “a
very limited group of young lung transplant candidates” will receive
“additional priority for matching offers.”
According to
a statement issued by the transplant network, a more individual needs-based
approach was considered in the context of the benefits transplantation can
provide. In other words, strict guidelines may sometimes exclude those that may
benefit from a transplant.
“Nobody
wants children, or anybody, to die on the waiting list,” said Dr. George
Mallory, medical director of the lung transplant program at Texas Children’s
Hospital in Houston, earlier this year as the year-long study was coming to a
close.
“This is a
difficult balance for very young lung transplant candidates in particular,”
said Stuart Sweet, board secretary for the transplant network and its parent
organization, the United Network for Organ Sharing.
“There are very few candidates in this age group and the progression of their
lung disease may be considerably different from other patients, even those just
a few years older. This exception is meant to provide an appropriate balance
for a specific group of candidates.”
At the time
Sarah Murnaghan sought donor lungs, the policy guiding allocations considered
candidates under 18 as either adolescents (12 to 18 years of age) and
pediatrics (under 12 years of age), and priority was given to adolescents,
meaning that they could receive lungs from either adolescent or adult donors.
Pediatric candidates could only receive pediatric-donor lungs.
The most
recent lung transplant guidelines are available online.
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