Alderete Isaac S, Medina Cathlyn K, Halpern Samantha E, Pontula Arya, Hartwig Matthew G
Duke University School of Medicine, Durham, North Carolina.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Semin Thorac Cardiovasc Surg. 2025;37(3):329-333. doi: 10.1053/j.semtcvs.2024.09.001. Epub 2024 Sep 23.
Due to criticism regarding undue adherence to fixed geographic boundaries, the Lung Allocation Score system was recently replaced by the more holistic allocation via continuous distribution. This review highlights the historical evolution of US lung allocation paradigms, outlines rationale for continuous distribution under the Composite Allocation Score system and discusses expected implications of this new system.
由于对过度依赖固定地理边界的批评,肺分配评分系统最近被更全面的连续分配方式所取代。本综述强调了美国肺分配模式的历史演变,概述了综合分配评分系统下连续分配的基本原理,并讨论了这一新系统的预期影响。