The Registry of the International Society for Heart and Lung Transplantation (ISHLT) has reported trends in clinical lung and heart-lung transplantation since their inception. Information about heart-lung transplantation has been included in annual reports from the Registry since 1984, and for lung transplantation beginning in 1989. Through June 30, 2009, the Registry has accrued data on 3,546 heart-lung and 32,652 lung transplants from centers around the world. This section of the 27th official Registry report summarizes the current status of adult lung and heart-lung transplantation by reporting data on this international group of individuals. More detailed slides (more than 200 in total) can be found on the ISHLT Web site at www.ishlt.org/registries/.
Organ allocation changed dramatically in the United States with the implementation of the lung allocation scoring system in May 2005, and other regions have continued to refine organ allocation systems in recent years. As such, data from the more recent years of the Registry contained in this report should be interpreted in the context of the composite changes in different organ allocation systems used by members of the international lung transplant community. Because approximately 40% of lung transplantations in the Registry are contributed by centers outside the United States, specific analyses by lung allocation scoring are not presented.