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Deaths Waiting For Lung Donation Have Dropped Under New Guidelines

Researchers reported on May 21, 2025, that new lung donor allocation guidelines have reduced deaths on transplant waitlists in the US.
These guidelines arose after a pre-2017 lawsuit prompted a shift from donor lung allocation by geographical proximity to a new priority system.
During the year 2023, an organization responsible for organ sharing implemented a Composite Allocation Score that gives priority to candidates based on their medical urgency and additional health-related criteria.
The rate of death or removal from the waitlist decreased from 11% before 2017 to 4% after the new allocation guidelines were introduced, significantly lowering the risk of dying while waiting for a lung transplant.
Lead researcher Dr. Mary Raddawi said the results confirm the system improves outcomes, especially for the sickest patients, highlighting the importance of medical advocacy.

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