Upload
rashad
View
30
Download
1
Embed Size (px)
DESCRIPTION
THE REGISTRY OF THE INTERNATIONAL SOCIETY FOR HEART AND LUNG TRANSPLANTATION: TWENTIETH ANNUAL REPORT. Major Contributors to the ISHLT Transplant Registry. We wish to extend our sincere thanks to the many thoracic transplant surgeons, physicians and data - PowerPoint PPT Presentation
Citation preview
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
THE REGISTRY OF THE INTERNATIONAL SOCIETY
FOR HEART AND LUNG TRANSPLANTATION: TWENTIETH ANNUAL
REPORT
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Major Contributors to the ISHLT Transplant Registry
Eurotransplant (ET):
Austria Germany Slovenia
Belgium Netherlands
Scandiatransplant:
Denmark Norway
Finland Sweden
United Kingdom Transplant Services Authority (UKTSSA):
United Kingdom Ireland
United Network for Organ Sharing (UNOS):
United States
74 Individual centers from Canada, Central/South America, Europe, Asia, and Australia/Oceania reporting transplants since 1995
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
ACKNOWLEDGMENTS:
We wish to extend our sincere thanksto the many thoracic transplant surgeons, physicians and data coordinators in transplant programsthroughout the world whose timely and accurate submission of data hasmade these analyses possible.
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
ISHLT International Heart and Lung Transplant Registry Mission Statement
The ISHLT International Heart and Lung Transplant Registry was created to advance the state of knowledge and patient care regarding therapies for the failing heart and lung. This mission is accomplished by maintaining a repository of the worldwide thoracic organ transplant experience and by fostering related outcomes research in order to:
1. Create new knowledge related to advanced heart and lung failure and transplantation;
2. Serve as a resource for healthcare providers seeking information regarding patient care;
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
ISHLT International Heart and Lung Transplant Registry Mission Statement
3. Provide benchmark aggregate date for use by individual centers to assess their center-specific practices and outcomes;
4. Serve as a resource for governmental agencies worldwide when formulating public policy regarding thoracic organ transplantation;
5. Serve as a resource for patient-related organizations and pharmaceutical companies regarding disease-specific therapies and transplant outcomes
(cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Goals of Registry1. Increase the number of publications/studies using
Registry data
2. Increase the number of non-US reporting centers
3. Optimize the data quality and integrity
4. Improve the process of receiving, processing and fulfilling data and analysis requests
5. Develop sources of external funding
6. Develop a formal publication policy regarding the use of Registry data
7. Increase the number of centers reporting data online
8. Redefine and improve the working relationship with UNOS Registry staff
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Goals of Registry(cont’d)
9. Optimize the value and image of the Registry to the Society, its members, and the external research community
10. Identify patient-related organizations and pharmaceutical companies and make them aware of the Registry as a resource
11. Restructure the data fields into a tiered system and increased the number of required fields
12. Increase the number of reporting agreements with non-US government regulatory agencies (i.e, Swiss Transplant, France Transplant, etc.)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
REGISTRY STEERING COMMITTEE
Marshall Hertz – Medical Director
Elbert Trulock – Associate Director for Lung Transplantation
David O. Taylor – Associate Director for Heart Transplantation
Mark Boucek – Associate Director for Pediatric Transplantation
Paul Mohacsi – Associate Director for Non-US Centers
Amanda Rowe – ISHLT Executive Director
Berkeley Keck – Associate Director for Database Management
Leah Bennett Edwards – Associate Director for Data Analysis
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
General Registry Statistics
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
REGISTRY DATABASE:Number of Transplants Performed
ORGAN Transplants Reported Through 6/30/2002
Heart 62,851
Heart-Lung 2,955
Lung 15,199
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
REGISTRY DATABASE:Number of Centers Reporting Transplants
Organ
Centers Ever
Reporting Data
Centers Reporting
Transplants in 1993
Centers Reporting
Transplants between 1/2001
and 6/2002
Heart 330 231 202
Heart-Lung 129 60 41
Lung 183 102 105
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
REGISTRY DATABASE:Number of Centers Reporting Heart Transplants
0
50
100
150
200
250
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Year of Transplant
# o
f C
en
ters
Re
po
rtin
g
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
REGISTRY DATABASE:Number of Centers Reporting Lung Transplants
0
25
50
75
100
125
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Year of Transplant
# o
f C
ente
rs R
epo
rtin
g
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
REGISTRY DATABASE:Number of Centers Reporting Heart-Lung Transplants
0
10
20
30
40
50
60
70
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Year of Transplant
# o
f C
en
ters
Re
po
rtin
g
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
APPENDIX
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
ARGENTINA
Fundacion Favaloro x x
AUSTRALIA
St. Vincent x x
The Prince Charles Hospital x x
The Alfred Hospital x
Royal Perth Hospital x x
AUSTRIA
University of Vienna x x
Innsbruck University Hospital x x
University Klinik fur Chirurgie (Graz) x x
BELGIUM
Erasme Univ. Hospital (Brussels) x x
Univ. Hospital Gasthuisberg (Leuven) x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
BELGIUM (cont’d)
University Hospital Antwerp x x
OLV Hospital (Aalst) x x
University Hospital Gent x x
Centre Hospitalier Universitaire de Liege, CHU Sart-Tilman
x x
CANADA
Royal Victoria Hospital x x
Montreal Heart Institute x x
The Toronto General Hospital x x
Quebec Heart Institute - Laval Hospital
x x
Ottawa Heart Institute x x
Univ. of Alberta Hospitals/ Walter C. Mackenzie Health Sciences
x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
CANADA (cont’d)
St. Paul x x
Vancouver General Hospital x x
The Hospital for Sick Children x x
CHILE
Hospital DIPRECA x x
Clinica Las Condes x
DENMARK
Skejby University Hospital x x
Rigshospitalet, National University Hospital
x x
FINLAND
Helsinki University Central Hospital x x
Children's Hospital, Univ. of Helsinki x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
FRANCE
Hopital Cardiolgique (Lille) x x
Hopital La Pitie x x
GERMANY
Organisationsbuero des K.F.H. (Homburg/Saar)
x x
Martin-Luther Universitaet Halle x x
Technischen Universitaet Dresden x x
German Heart Institute (Berlin) x x
Universitat Hamburg x x
Universitaetsklinik (Koeln) x x
University of Leipzig - Heart Center x x
Kerckoff-Klinik der Max-Planck-Gesellschaft zur Forderung der Wissenschaften e.V. (Bad Nauheim)
x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
GERMANY (cont’d)
Klinikum der Universitaet (Heidelberg) x x
Herz-und Diabetesentrum Nordrhein -Westfalen (Bad Oeynhausen)
x x
Chirurgische Universitaetsklinik/ Univ. Rostock (Freiburg Im Breisgau)
x x
Essen University Medical School x x
I. Med. Klinik J. Gutenberg (Mainz) x x
der Heinrich-Heine-Universitat Dusseldorf
x x
Klinikum GroBhadern, Ludwig-Maximilians-Universitat Munchen
x x
Klinikum der Universitat Kaiserslautern
x
Chirurgische Universitatsklinik Heidelberg
x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
GERMANY (cont’d)
Medizinische Hochschule Hannover x x
Universitatsklinik Gottingen x x
Klinikum der Rheinisch-Westfalischen Technischen Hochschule Aachen
x x
Fulda Medical Center x x
Klinikum der J. W. Goethe University (Frankfurt am Main)
x x
Klinikum Der Christian-Albrechts-Universtat zu Kiel
x x
Transplantations-Zentrum (Frankfurt) x x
Friedrich Schiller Universitaet (Jena) x x
Klinikum Karlsburg x
Klinik fuer Herzchirurgie Karlsruhe x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant RegistryCOUNTRY/Center
TXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
GERMANY (cont’d)
Medizinische Einrichtupgen der Universiteat , Nurenberg
x x
Chirurgische Univ. Klinik/Julius Maxmillians Universitaet (Wurzburg)
x
GREECE
Onassis Cardiac Surgery Center x x
IRELAND
Mater Hospital x x
ISRAEL
Sheba Medical Center x x
Hadassah University Hospital x
ITALY
Policlinico S. Orsola - Universita degli Studi
x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant RegistryCOUNTRY/Center
TXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
JAPAN
Tohoku University, IDAC Hospital x x
Osaka University Hospital x x
National Cardiovascular Center x x
NETHERLANDS
Heart-Lung Institute, University Hospital Utrecht x x
Thoraxcenter - University Hospital Rotterdam
x x
University Hospital Groningen x x
NEW ZEALAND
Green Lane Hospital x x
NORWAY
Rikshospitalet - National Hospital of Norway
x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant RegistryCOUNTRY/Center
TXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
SINGAPORE
National Heart Centre x
SLOVENIA
University Medical Center Ljubljana x x
SWEDEN
University Hospital of Lund x x
Sahlgrenska University Hospital x x
SWITZERLAND
Bern University Hospital x x
UNITED KINGDOM
Great Ormand Street Hospital for Children
x x
University of Glasgow/Glasgow Royal Infirmary
x x
Northern General Hospital x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED KINGDOM (cont’d)
The Freeman Hospital x x
Harefield Hosp x x
Wythenshawe Hospital x x
St. George's Hospital x
Queen Elizabeth Hospital x x
Papworth Hospital x x
UNITED STATES
University of Alabama Hospital x x
Baptist Medical Center, Little Rock x x
Arkansas Children’s Hospital x x
The University Hospital of Arkansas x x
University Medical Center, University of AZ
x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Children’s Hospital Los Angeles x x
Cedars Sinai Medical Center x x
Loma Linda Univ. Medical Center x x
California Pacific Medical Center x x
UCSD Medical Center x x
University of CA San Francisco Medical Center
x x
Sutter Memorial Hospital x x
Sharp Memorial Hospital x x
UC Davis Medical Center x
Stanford University Medical Center x x
St Vincent Medical Center x x
UCLA Medical Center x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
USC University Hospital x x
The Children’s Hospital, Denver x x
University Hospital, Denver x x
Hartford Hospital x x
Yale New Haven Hospital x x
Children’s National Medical Center x
Washington Hospital Center x x
All Children’s Hospital x x
Jackson Memorial Hospital x x
St Luke’s Hospital, Jacksonville x
Tampa General Hospital x x
Tallahassee Memorial Hospital x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Shands Hospital at University of Florida
x x
Egleston Children’s Hospital x x
Emory University Hospital x x
St. Joseph Hospital of Atlanta x x
St. Francis Medical Center, Honolulu x x
Univ. of Iowa Hospital and Clinics x x
Children’s Memorial Hospital x x
Loyola University Medical Center x x
Northwestern Memorial Hospital x
Rush Pres St Luke’s Medical Center x x
OSF St. Francis Medical Center x x
St. John’s Hospital x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Univ. of Chicago Medical Center x x
University of Illinois Hospital x x
Clarian Health-Methodist/IU/Riley x x
Indiana University Medical Center x x
Lutheran Hospital of Ft. Wayne x x
St. Vincent Hosp. and Health Care Ctr x x
Via Christi Regional Medical Center x x
Jewish Hospital x x
Kosair Children’s Hospital x
Univ. of Kentucky Medical Center x x
Ochsner Foundation Hospital x x
Tulane University Medical Center x x
Willis Knighton Medical Center x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Children's Hospital, Boston x x
Massachusetts General Hospital x x
New England Medical Center x x
Brigham and Women’s Hospital x x
UMass Memorial Medical Center x
Johns Hopkins Hospital x x
Univ. of Maryland Medical System x x
Children’s Hospital of Michigan x x
Henry Ford Hospital x x
Univ. of Michigan Medical Center x x
Abbott Northwestern Hospital x x
St. Mary’s Hospital, Rochester x x
Fairview University Medical Center x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Barnes-Jewish Hospital x x
Cardinal Glennon Children’s Hospital x x
St. Louis Children’s Hospital x x
St. Luke’s Hospital of Kansas City x x
St. Louis University Hospital x x
Univ. of Missouri Hospital and Clinic x x
University of MS Medical Center x x
NC Baptist Hospital x x
Carolinas Medical Center x x
Duke University Medical Center x x
UNC Hospitals x x
Bryan LGH Medical Center East x x
Newark Beth Israel Medical Center x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Robert Wood Johnson Univ. Hosp x x
Presbyterian Hospital, Albuquerque x x
Albany Medical Center Hospital x x
The Presbyterian Hospital in NY City x x
Strong Memorial Hospital x
Montefiore Medical Center x
Mt. Sinai Medical Center x x
New York University Medical Center x
Westchester County Medical Center x
Cleveland Clinic Foundation x x
Children's Hospital Medical Center, Cincinnati
x x
Medical College Hospital, Toledo x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Ohio State University Hospital x x
Univ. of Cincinnati Medical Center x x
University Hospital of Cleveland x x
Integris Baptist Medical Center x x
St. Francis Hospital, Tulsa x x
Providence Portland Medical Center x x
Oregon Health Sciences Univ. Hosp x x
Allegheny General Hospital x x
Children’s Hospital of Pittsburgh x x
Children’s Hospital of Philadelphia x x
Penn State Milton S Hershey Med Ctr x x
Hahnemann University Hospital Tenet x x
Univ of Pittsburgh Medical Center x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Temple University Hospital x x
The Hospital of the University of PA x x
Cardiovascular Center of PR x x
Medical University of SC x x
Baptist Memorial Hosp, Memphis x x
St. Thomas Hospital x x
Vanderbilt University Medical Center x x
Brooke Army Medical Center x x
University Hospital, San Antonio x x
Children’s Medical Center of Dallas x x
Seton Medical Center x x
Columbia Hosp at Medical City Dallas x x
St Luke’s Episcopal Hospital x x(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
Methodist Specialty & Transplant Hospital
x x
University of Texas Medical Branch x x
The Methodist Hospital, Houston x x
Christus Santa Rosa Medical Center x x
St Paul University Hospital x x
Baylor University Medical Center x x
LDS Hospital x x
University of Utah Medical Center x x
Primary Children’s Medical Center x x
Inova Fairfax Hospital x x
Henrico Doctors Hospital x x
MCV Hospitals x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Centers Reporting to the ISHLT Transplant Registry
COUNTRY/CenterTXs Performed in 2000 and Reported to ISHLT
TXs Performed 1/2001-6/2002 and Reported to ISHLT
UNITED STATES (cont’d)
McGuire VA Medical Center x x
Sentara Norfolk General Hospital x x
University of Virginia HSC x x
Children’s Hosp Medical Ctr, Seattle x x
Sacred Heart Medical Center x x
Univ. of Washington Medical Center x x
Children’s Hospital of Wisconsin x x
Froedtert Memorial Lutheran Hospital x x
St Luke’s Medical Center x x
Univ. of Wisconsin Hosp. and Clinics x x
(Cont’d)
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Data Currently Available on the ISHLT Web Site: http://www.ishlt.org
1. Quarterly reports of recent continent-specific statistics are available for general public: • Transplant counts• Tabulation of recipient, transplant and donor demographics• Survival rates stratified by demographics
2. Quarterly reports for center-specific data are available for each center through the secure section of the ISHLT web site.• If your center does not currently have access to the secure site,
contact Linda Butler to obtain an ID and password
3. Registry Report slides will be available for download from the ISHLT web site on July 1.
2003ISHLTJ Heart Lung Transplant 2003; 22: 610-72.
Requesting Data from the ISHLT RegistryData request form is available on the ISHLT web site: http://www.ishlt.org
PROCESS FOR SUBMITTING A DATA REQUEST:•Complete form and send to Amanda Rowe•Request will be reviewed by the appropriate Registry staff •If approved, request will be processed and programmed. •Results are usually sent out within 2 weeks of being received by analytical staff.
DATA/ANALYSES:•Datasets (patients and centers will not be identified) •Simple descriptive statistics •Multivariate analyses -- may require more extensive review