Promoting utilization of donors after circulatory death in lung transplantation

Doug A. Gouchoe; Ashley Cardenas; Gary F. Marklin; Errol Bush; Bryan A. Whitson; Jordan R.H. Hoffman; Darren Stewart; David A. Axelrod; Aleem Siddique

doi:10.1016/j.jhlto.2026.100491

Promoting utilization of donors after circulatory death in lung transplantation

Doug A. Gouchoe, Ashley Cardenas, Gary F. Marklin, Errol Bush, Bryan A. Whitson, Jordan R.H. Hoffman, Darren Stewart, David A. Axelrod, Aleem Siddique

Research output: Contribution to journal › Article › peer-review

Abstract

Lungs recovered from donation after circulatory death (DCD) are markedly underutilized for transplantation in the U.S. Evidence demonstrating excellent outcomes after DCD lung transplantation underpins the need for strategies to mitigate barriers to DCD lung utilization, including data driven revisions to allocation policy, revising program-specific quality metrics, removing financial barriers, and minimizing logistical disincentives. Expanded DCD transplantation is vital to reduce waitlist mortality and increase lung transplant rate.

Original language	English (US)
Article number	100491
Journal	JHLT Open
Volume	12
DOIs	https://doi.org/10.1016/j.jhlto.2026.100491
State	Published - May 2026

Keywords

Allocation Policy
Continuous Allocation Score
Donation after Circulatory Death (DCD)
Lung Transplantation

ASJC Scopus subject areas

Medicine (miscellaneous)
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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title = "Promoting utilization of donors after circulatory death in lung transplantation",

abstract = "Lungs recovered from donation after circulatory death (DCD) are markedly underutilized for transplantation in the U.S. Evidence demonstrating excellent outcomes after DCD lung transplantation underpins the need for strategies to mitigate barriers to DCD lung utilization, including data driven revisions to allocation policy, revising program-specific quality metrics, removing financial barriers, and minimizing logistical disincentives. Expanded DCD transplantation is vital to reduce waitlist mortality and increase lung transplant rate.",

keywords = "Allocation Policy, Continuous Allocation Score, Donation after Circulatory Death (DCD), Lung Transplantation",

author = "Gouchoe, \{Doug A.\} and Ashley Cardenas and Marklin, \{Gary F.\} and Errol Bush and Whitson, \{Bryan A.\} and Hoffman, \{Jordan R.H.\} and Darren Stewart and Axelrod, \{David A.\} and Aleem Siddique",

note = "Publisher Copyright: {\textcopyright} 2026 The Authors",

year = "2026",

month = may,

doi = "10.1016/j.jhlto.2026.100491",

language = "English (US)",

volume = "12",

journal = "JHLT Open",

issn = "2950-1334",

publisher = "Elsevier B.V.",

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TY - JOUR

T1 - Promoting utilization of donors after circulatory death in lung transplantation

AU - Gouchoe, Doug A.

AU - Cardenas, Ashley

AU - Marklin, Gary F.

AU - Bush, Errol

AU - Whitson, Bryan A.

AU - Hoffman, Jordan R.H.

AU - Stewart, Darren

AU - Axelrod, David A.

AU - Siddique, Aleem

PY - 2026/5

Y1 - 2026/5

N2 - Lungs recovered from donation after circulatory death (DCD) are markedly underutilized for transplantation in the U.S. Evidence demonstrating excellent outcomes after DCD lung transplantation underpins the need for strategies to mitigate barriers to DCD lung utilization, including data driven revisions to allocation policy, revising program-specific quality metrics, removing financial barriers, and minimizing logistical disincentives. Expanded DCD transplantation is vital to reduce waitlist mortality and increase lung transplant rate.

AB - Lungs recovered from donation after circulatory death (DCD) are markedly underutilized for transplantation in the U.S. Evidence demonstrating excellent outcomes after DCD lung transplantation underpins the need for strategies to mitigate barriers to DCD lung utilization, including data driven revisions to allocation policy, revising program-specific quality metrics, removing financial barriers, and minimizing logistical disincentives. Expanded DCD transplantation is vital to reduce waitlist mortality and increase lung transplant rate.

KW - Allocation Policy

KW - Continuous Allocation Score

KW - Donation after Circulatory Death (DCD)

KW - Lung Transplantation

UR - https://www.scopus.com/pages/publications/105029233080

UR - https://www.scopus.com/inward/citedby.url?scp=105029233080&partnerID=8YFLogxK

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DO - 10.1016/j.jhlto.2026.100491

M3 - Article

AN - SCOPUS:105029233080

SN - 2950-1334

VL - 12

JO - JHLT Open

JF - JHLT Open

M1 - 100491

ER -

Promoting utilization of donors after circulatory death in lung transplantation

Abstract

Keywords

ASJC Scopus subject areas

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