LUNG TRANSPLANTATION Pediatric Recipients ISHLT 2004 J Heart

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LUNG TRANSPLANTATION Pediatric Recipients ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

LUNG TRANSPLANTATION Pediatric Recipients ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

AGE DISTRIBUTION OF PEDIATRIC LUNG RECIPIENTS (Transplants: January 1986 - June 2003) ISHLT 2004

AGE DISTRIBUTION OF PEDIATRIC LUNG RECIPIENTS (Transplants: January 1986 - June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

AGE DISTRIBUTION OF PEDIATRIC LUNG RECIPIENTS (Transplants: January 1996 - June 2003) ISHLT 2004

AGE DISTRIBUTION OF PEDIATRIC LUNG RECIPIENTS (Transplants: January 1996 - June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

AGE DISTRIBUTION FOR DONORS OF PEDIATRIC LUNG RECIPIENTS ISHLT (Transplants: January 1986 - June

AGE DISTRIBUTION FOR DONORS OF PEDIATRIC LUNG RECIPIENTS ISHLT (Transplants: January 1986 - June 2003) 2004 J Heart Lung Transplant 2004; 23: 933 -947

AGE DISTRIBUTION FOR DONORS OF PEDIATRIC LUNG RECIPIENTS ISHLT (Transplants: January 1996 - June

AGE DISTRIBUTION FOR DONORS OF PEDIATRIC LUNG RECIPIENTS ISHLT (Transplants: January 1996 - June 2003) 2004 J Heart Lung Transplant 2004; 23: 933 -947

Number of Transplants AGE DISTRIBUTION OF PEDIATRIC LUNG RECIPIENTS By Year of Transplant 84

Number of Transplants AGE DISTRIBUTION OF PEDIATRIC LUNG RECIPIENTS By Year of Transplant 84 84 84 73 47 51 56 45 43 20 1 3 ISHLT 4 67 66 6 2004 J Heart Lung Transplant 2004; 23: 933 -947 60

NUMBER OF CENTERS REPORTING PEDIATRIC LUNG TRANSPLANTS ISHLT 2004 J Heart Lung Transplant 2004;

NUMBER OF CENTERS REPORTING PEDIATRIC LUNG TRANSPLANTS ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION: Indications (Transplants: January 1991 - June 2003) DIAGNOSIS AGE: < 1

PEDIATRIC LUNG TRANSPLANTATION: Indications (Transplants: January 1991 - June 2003) DIAGNOSIS AGE: < 1 Year Cystic Fibrosis PPH Congenital Heart Disease AGE: 1 -10 Years 66 35. 9% 7 14. 3% 25 13. 6% 23 46. 9% 20 10. 9% 13 7. 1% IPF Pulmonary Vascular Disease 6 12. 2% 6 3. 0% Re-TX: Non-OB 3 6. 1% 8 4. 3% 11 6. 0% OB (Non-Re. TX) 7 3. 8% Bronchiectasis 2 1. 1% COPD/Emphysema 2 1. 1% 24 13. 0% Re-TX: OB Other 10 ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947 20. 0%

DIAGNOSIS IN PEDIATRIC LUNG RECIPIENTS Age: 11 -17 Years ISHLT 2004 J Heart Lung

DIAGNOSIS IN PEDIATRIC LUNG RECIPIENTS Age: 11 -17 Years ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival for Congenital Diagnosis ISHLT 2004 J Heart Lung Transplant

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival for Congenital Diagnosis ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947 (Transplants: January 1990 – June 2002)

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type (Transplants: January 1990 - June 2002)

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type (Transplants: January 1990 - June 2002) P = 0. 0001 ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type Diagnosis: PPH (Transplants: January 1990 -

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type Diagnosis: PPH (Transplants: January 1990 - June 2002) P = 0. 0013 ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type Diagnosis: PPH (Transplants: January 1994 -

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Procedure Type Diagnosis: PPH (Transplants: January 1994 - June 2002) P = 0. 0013 ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Age Group (Transplants: January 1990 - June 2002)

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Age Group (Transplants: January 1990 - June 2002) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION Conditional Kaplan-Meier Survival by Age Group (Transplants: January 1990 - June

PEDIATRIC LUNG TRANSPLANTATION Conditional Kaplan-Meier Survival by Age Group (Transplants: January 1990 - June 2002) HALF-LIFE <1 Year: ½-life = 7. 1 Years 1 -10 Years: ½-life = 6. 7 Years 11 -17 Years: ½-life = 6. 1 Years ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Era ISHLT (Transplants: January 1988 - June 2002)

PEDIATRIC LUNG TRANSPLANTATION Kaplan-Meier Survival by Era ISHLT (Transplants: January 1988 - June 2002) 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Functional Status (Follow-ups: April 1994 -June 2003) ISHLT 2004 J Heart

PEDIATRIC LUNG RECIPIENTS Functional Status (Follow-ups: April 1994 -June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Rehospitalization Post-transplant ISHLT 2004 (Follow-ups: April 1994 - June 2003) J

PEDIATRIC LUNG RECIPIENTS Rehospitalization Post-transplant ISHLT 2004 (Follow-ups: April 1994 - June 2003) J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Induction Immunosuppression For follow-ups between January 2001 and June 2003 ISHLT

PEDIATRIC LUNG RECIPIENTS Induction Immunosuppression For follow-ups between January 2001 and June 2003 ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Induction Immunosuppression (Follow-ups: January 2001 - June 2003) ISHLT 2004 J

PEDIATRIC LUNG RECIPIENTS Induction Immunosuppression (Follow-ups: January 2001 - June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Induction Immunosuppression (Follow-ups: January 2001 - June 2003) ISHLT 2004 J

PEDIATRIC LUNG RECIPIENTS Induction Immunosuppression (Follow-ups: January 2001 - June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2001

PEDIATRIC LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2001 and June 2003 ISHLT NOTE: Different patients are analyzed in Year 1 and Year 5 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2001

PEDIATRIC LUNG RECIPIENTS Maintenance Immunosuppression at Time of Follow-up For follow-ups between January 2001 and June 2003 1 Year Follow-up (N = 78) ISHLT 5 Year Follow-up (N = 45) NOTE: Different patients are analyzed in Year 1 and Year 5 2004 J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG RECIPIENTS Maintenance Immunosuppression Drug Combinations at Time of Follow-up Report For follow-ups

PEDIATRIC LUNG RECIPIENTS Maintenance Immunosuppression Drug Combinations at Time of Follow-up Report For follow-ups between January 2001 and June 2003 ISHLT NOTE: Different patients are analyzed in Year 1 and Year 5 2004 J Heart Lung Transplant 2004; 23: 933 -947

POST-LUNG TRANSPLANT MORBIDITY FOR PEDIATRICS Cumulative Prevalence in Survivors within 1 Year Post-Transplant (Follow-ups:

POST-LUNG TRANSPLANT MORBIDITY FOR PEDIATRICS Cumulative Prevalence in Survivors within 1 Year Post-Transplant (Follow-ups: April 1994 - June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

POST-LUNG TRANSPLANT MORBIDITY FOR PEDIATRICS Cumulative Prevalence in Survivors within 5 Years Post-Transplant (Follow-ups:

POST-LUNG TRANSPLANT MORBIDITY FOR PEDIATRICS Cumulative Prevalence in Survivors within 5 Years Post-Transplant (Follow-ups: April 1994 - June 2003) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

Freedom from Bronchiolitis Obliterans For Pediatric Lung Recipients ISHLT 2004 (Follow-ups: April 1994 -

Freedom from Bronchiolitis Obliterans For Pediatric Lung Recipients ISHLT 2004 (Follow-ups: April 1994 - June 2003) J Heart Lung Transplant 2004; 23: 933 -947

Freedom from Severe Renal Dysfunction* For Pediatric Lung Recipients (Follow-ups: April 1994 - June

Freedom from Severe Renal Dysfunction* For Pediatric Lung Recipients (Follow-ups: April 1994 - June 2003) * Severe renal dysfunction = Creatinine > 2. 5 mg/dl, dialysis or renal transplant ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947

MALIGNANCY POST-LUNG TRANSPLANTATION FOR PEDIATRICS Cumulative Incidence for Survivors (Follow-ups: April 1994 - June

MALIGNANCY POST-LUNG TRANSPLANTATION FOR PEDIATRICS Cumulative Incidence for Survivors (Follow-ups: April 1994 - June 2003) Malignancy/Type 1 -Year Survivors 5 -Year Survivors 345 (94. 3%) 63 (91. 3%) 21 (5. 7%) 6 (8. 7%) No Malignancy (all types combined) Malignancy Type ISHLT Lymph 19 Other 2 2004 J Heart Lung Transplant 2004; 23: 933 -947 6

Freedom from Malignancy For Pediatric Lung Recipients ISHLT 2004 (Follow-ups: April 1994 - June

Freedom from Malignancy For Pediatric Lung Recipients ISHLT 2004 (Follow-ups: April 1994 - June 2003) J Heart Lung Transplant 2004; 23: 933 -947

PEDIATRIC LUNG TRANSPLANT RECIPIENTS: Cause Of Death (Deaths: January 1992 - June 2003) CAUSE

PEDIATRIC LUNG TRANSPLANT RECIPIENTS: Cause Of Death (Deaths: January 1992 - June 2003) CAUSE OF DEATH 0 -30 Days (N = 45) 31 Days - 1 Year (N = 75) BRONCHIOLITIS 5 (6. 7%) ACUTE REJECTION 3 (4. 0%) LYMPHOMA 3 (4. 0%) CMV 5 (6. 7%) >1 Year - 3 Years (N = 81) 30 (37. 0%) >3 Years - 5 Years (N = 35) >5 Years (N = 11) 16 (45. 7%) 5 (45. 5%) 1 (2. 9%) 4 (4. 9%) 1 (2. 9%) 2 (18. 2%) INFECTION, NONCMV 6 (13. 3%) 31 (41. 3%) 17 (21. 0%) 8 (22. 9%) 1 (9. 1%) GRAFT FAILURE 20 (44. 4%) 14 (18. 7%) 16 (19. 8%) 3 (8. 6%) 2 (18. 2%) CARDIOVASCULAR 6 (13. 3%) 2 (2. 7%) 2 (2. 5%) TECHNICAL 6 (13. 3%) 1 (1. 3%) OTHER 7 (15. 6%) 11 (14. 7%) 12 (14. 8%) 6 (17. 1%) 1 (9. 1%) ISHLT 2004 J Heart Lung Transplant 2004; 23: 933 -947