ABSTRACT
The year 2008 marked the 10th anniversary of the Japanese lung transplantation program started in accordance with the Japanese Organ Transplant Law, which took effect in 1997. A total of 105 lung transplantations, including 39 deceased-donor transplants and 66 living-related transplants, had been performed as of the end of 2007. This article is the 2008 official report of the Japanese Society of Lung and Heart-Lung Transplantation. It summarizes the data for clinical lung transplantation during the period 1998-2007 and discusses the current status of Japanese lung transplantation. The overall 5-year survival rate was 67.0%: including 53.4% and 74.6% for deceased-donor lung transplantation and living-donor lobar lung transplantation groups, respectively. The total operation-related and 1-month mortality rates after surgery were 3.8% and 10.4%, respectively. These data are better, or at least acceptable, in comparison with the international registry data.
Subject(s)
Heart-Lung Transplantation , Lung Diseases/surgery , Lung Transplantation , Registries/statistics & numerical data , Societies, Medical/statistics & numerical data , Adolescent , Adult , Asian People/statistics & numerical data , Cause of Death , Child , Child, Preschool , Female , Heart-Lung Transplantation/ethnology , Heart-Lung Transplantation/mortality , Humans , Japan , Kaplan-Meier Estimate , Living Donors/supply & distribution , Lung Diseases/ethnology , Lung Diseases/mortality , Lung Transplantation/ethnology , Lung Transplantation/mortality , Male , Middle Aged , Patient Selection , Time Factors , Tissue and Organ Procurement/statistics & numerical data , Treatment Outcome , Waiting Lists , Young AdultABSTRACT
From the earliest days of transplantation, research has contributed to our knowledge of the psychosocial sequelae associated with the outcomes of the procedure. The purpose of this review is to describe the social adaptation literature for heart, lung, and heart-lung recipients. Social adaptation refers to employment and performance of social roles and responsibilities. Employment research focused on vocational rehabilitation, physical health restoration, and return to work. Social roles and responsibilities research focused on social roles, family relationships, social support, and psychosocial adjustment. Predictors, interventions, and their associations with outcomes are discussed.
