Continuous distribution of lungs concept paper
Status: Committee Review
Sponsoring Committee: Lung Transplantation
Strategic Goal: Provide equity in access to transplants
Read the concept paper (PDF; 8/2019)
Contact: Betsy Gans
At a glance
You may be interested in this concept if
- You work for a transplant program
- You work for an OPO
- You are a transplant candidate or a family member of a transplant candidate
Here’s the purpose of this document
This proposal was originally sponsored by the Thoracic Transplantation Committee, which was dissolved July 1, 2020. The Lung Transplantation Committee will provide ongoing review and evaluation.
In December 2018 the OPTN Board of Directors approved the continuous distribution framework for all organ allocation systems. Continuous distribution will prioritize waiting list candidates based on a combination of points awarded for factors related to medical severity, expected post-transplant outcome, the efficient management of organ placement, and equity. Continuous distribution will eliminate hard boundaries, which currently preclude a patient from being prioritized ahead of patients on the other side of the boundary.
Why this may matter to you
This model will eliminate hard boundaries and classifications that many people are accustomed to. It will also enable dynamic multi-factor allocation policies.
Tell us what you think
- Do you understand the advantages of a points-based system versus the current classification-based system?
- Are there other measures of the efficient management of organ placement that should be taken into account in a points-based framework?
- What other issues should be considered to convert other organ systems to a points-based framework?
- What factors should be incorporated into the allocation of lungs within a continuous distribution framework?