Lung transplantation in South Africa: Indications, outcomes and disease-specific referral guidelines

Calligaro, Gregory; Brink, Johan; Williams, Paul; Geldenhuys, Agneta; Sussman, M; Pennel, Timothy

doi:10.7196/sarj.2018.v24i3.217

Cited by 3 publications

(3 citation statements)

References 10 publications

(24 reference statements)

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“…Cardiac and lung transplant centers 24 are based at a private hospital in Johannesburg, called Milpark Hospital. Although there is currently no cardiac or lung transplantation being performed in the public sector or for pediatric patients, many patients who no longer have medical insurance after their transplants in the private sector are transitioned to CMJAH who assist with resources for their long‐term follow up.…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac and lung transplant centers 24 increase in pediatric transplant numbers. NMCH is a trust-funded pediatric hospital which serves both public and private sector pediatric patients and has state-of-the-art intensive care facilities and resources 29 that have assisted in improved outcomes for pediatric renal transplant recipients in the public sector.…”

Section: Discussionmentioning

confidence: 99%

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Disparity in organ distribution in Gauteng province in South Africa: Challenges and solutions

Walabh,

Palweni,

Hajinicolaou

et al. 2023

Pediatric Transplantation

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BackgroundDespite South Africa's rich heritage as pioneers in organ transplantation, access to organs remains a major issue in the Gauteng province. This is secondary to an array of socioeconomic and political factors that have implications for organ distribution. Our aim was to assess the contribution of the public sector to solid organ transplantation in Gauteng province and compare the distribution of solid organs between the recipient groups.MethodsThis was a retrospective registry review of consented brain‐dead donors from the public sector within Gauteng from January 1, 2016, to June 30, 2021, coordinated at Charlotte Maxeke Johannesburg Academic Hospital, a tertiary academic hospital.ResultsRecords of 49 deceased donors were analyzed. Mean donor age was 31.5 years with the age group 30–39 years constituting the majority of deceased donors at 15/49 (30.6%); 10/49 (16%) were from pediatric donors. There was a significant discrepancy in allocation between public and private sector in cardiac (p = .012) and liver allocation (p < .001) and adult and pediatric recipients for all solid organs (p < .001). There was a significant increase in the rate and number (p = .0026) of pediatric kidney transplants occurring after March 1, 2020, when there was a transition to a public sector‐mandated kidney transplant waitlist.ConclusionCurrent disparities in organ distribution have a significant impact on public sector recipients, especially pediatric patients. This is likely secondary to paucity of legislation and resource limitations which would benefit from improved governmental policies and explicit pediatric prioritization policies in transplant units.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Disparity in organ distribution in Gauteng province in South Africa: Challenges and solutions

Walabh,

Palweni,

Hajinicolaou

et al. 2023

Pediatric Transplantation

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“…COPD is the most common indication for LT worldwide, accounting for 40% of all transplants. Access to LT is limited and is currently offered only at major centres in South Africa: Johannesburg and Cape Town (117). The variability in the natural course of COPD can make it difficult to predict when patients should be referred for LT.…”

Section: Lung Transplantation (Lt)mentioning

confidence: 99%

Management of chronic obstructive pulmonary disease—A position statement of the South African Thoracic Society: 2019 update

Abdool-Gaffar¹,

Calligaro²,

Wong³

et al. 2019

J. Thorac. Dis.

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South African Thoracic Society position statement on the management of non-cystic fibrosis bronchiectasis in adults: 2023

Goolam-Mahomed,

Maasdorp,

Barnes

et al. 2023

Afr J Thoracic Crit Care Med

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Background. Bronchiectasis is a chronic lung disorder that affects the lives of many South Africans. Post-tuberculosis (TB) bronchiectasis is an important complication of previous pulmonary TB and a common cause of bronchiectasis in South Africa (SA). No previous statements on the management of bronchiectasis in SA have been published. Objectives. To provide a position statement that will act as a template for the management of adult patients with bronchiectasis in SA. Methods. The South African Thoracic Society appointed an editorial committee to compile a position statement on the management of adult non-cystic fibrosis (CF) bronchiectasis in SA. Results. A position statement addressing the management of non-CF bronchiectasis in adults in SA was compiled. This position statement covers the epidemiology, aetiology, diagnosis, investigations and various aspects of management of adult patients with non-CF bronchiectasis in SA. Conclusion. Bronchiectasis has largely been a neglected lung condition, but new research has improved the outlook for patients. Collaboration between interprofessional team members in patient management is important. In SA, more research into the epidemiology of bronchiectasis, especially post-TB bronchiectasis and HIV-associated bronchiectasis, is required.

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Lung transplantation in South Africa: Indications, outcomes and disease-specific referral guidelines

Cited by 3 publications

References 10 publications

Disparity in organ distribution in Gauteng province in South Africa: Challenges and solutions

Disparity in organ distribution in Gauteng province in South Africa: Challenges and solutions

Management of chronic obstructive pulmonary disease—A position statement of the South African Thoracic Society: 2019 update

South African Thoracic Society position statement on the management of non-cystic fibrosis bronchiectasis in adults: 2023

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