Saturday, March 01, 2008

Age shouldn't preclude patients from organ transplants

Many centers still do not accept transplant patients over the age of 65, but this article notes that selected older transplant recipients have just as successful outcomes as younger patients. At Toronto General Hospital, where I received my lung transplant, I personally know several patients in their 70's who received lung transplants and they are living and enjoying their "second chance" to the fullest.

From the Thousand Oaks Acorn in California:
In the world of organ donation, it has been common practice to exclude older patients from receiving transplants because of limited donor supply and lower survival rates.

However, patients such as Lois Tumanello, who received a successful lung transplant at age 65, are proving that perhaps age does not always matter.

A new UCLA Medical Center study shows that select patients age 65 and older can safely undergo a lung transplant and have acceptable outcomes. The findings are reported in the February issue of the peerreviewed Journal of Thoracic and Cardiovascular Surgery.

Since 1999, UCLA has been one of the few transplant centers in the country to offer lung transplants to patients 65 and older who were otherwise healthy candidates for the procedure.

A recent study reviewed records of UCLA patients who received lung transplants between March 2000 and September 2006. During this period, 50 transplant surgeries were performed on 48 patients between the ages of 65 and 72. A group of 50 patients younger than 65 were matched to the older cohort for comparison purposes. Survival rates for both groups were similar.

Tumanello, now 66, suffered from emphysema for more than nine years before receiving a single-lung transplant at UCLA in March 2007. Since then, she said, she has felt wonderful and has been enjoying the freedom to go anywhere and do anything she wants. Married, with three grown children and five grandchildren, Tumanello said she is grateful every day for the generous gift she received and is committed to taking care of her new lung.

"I think everyone should be given a chance," she said.

Lung transplantation has emerged as an effective treatment for end-stage lung disease. Since the inception of UCLA's program in 1988, more than 400 patients have undergone lung transplantation at UCLA. Recent advances in preservation methods, surgical techniques and immunosuppressive drugs have steadily improved the results of lung transplantation. Moreover, improvements in posttransplant care have significantly bettered the quality of life for lung transplant recipients.

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1 comment:

Anonymous said...

Merv, the lung transplant program at Tampa General Hospital also does not have an age cap, and they evaluate each patient individually. They have an outstanding program and I believe they have done the "oldest person" lung transplant US. My husband would not have received a transplant in most programs(for reasons not related to age). It was done because the director of the program believed that David and I would do whatever was necessary to recover well and that is exactly what happened. This is the kind of logic applied in the decision to transplant older patients as well.