Kümmel A, Witt C, Schramm R, Wenker M, Buhl R, Gottlieb J
III. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz, Mainz.
Arbeitsbereich amb. Pneumologie, Campus Charité Mitte, Berlin.
Pneumologie. 2019 Jan;73(1):24-33. doi: 10.1055/a-0644-1877. Epub 2018 Oct 11.
In 2017 an amendment to the German transplant law concerning organ allocation and waiting list management became effective. This implies important consequences on lung transplant centers. Crucial innovations concern the transplant conference, indications for lung transplantation and waiting list management. Certain medical conditions now imply a restriction of waiting list enrollment for patients and there are new options for size-matching of donor lung and recipient. Moreover, the new amendment describes in detail how the clinical parameters, on which the lung allocation score (LAS) is based, are defined and how the essential physical examinations have to be performed. Furthermore, the current article provides a summary of the process of organ allocation by the organ exchange organization.
2017年，德国器官移植法中有关器官分配和等待名单管理的一项修正案生效。这对肺移植中心产生了重要影响。关键的创新涉及移植会议、肺移植适应症和等待名单管理。某些医疗状况现在意味着对患者等待名单登记的限制，并且在供体肺与受体的大小匹配方面有了新的选择。此外，新修正案详细描述了肺分配评分（LAS）所基于的临床参数是如何定义的，以及必须如何进行必要的体格检查。此外，本文还概述了器官交换组织的器官分配过程。
