{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:39:05Z","timestamp":1790872745244,"version":"4.1.0"},"reference-count":32,"publisher":"European Respiratory Society (ERS)","issue":"3","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"l'Association Gr\u00e9gory Lemarchal"},{"name":"Institut de Recherche en Sant\u00e9 Respiratoire des Pays de Loire"},{"name":"Nantes Metropole"},{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["DGOS 20-11"],"award-info":[{"award-number":["DGOS 20-11"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011272","name":"FP7 Health","doi-asserted-by":"publisher","award":["305457"],"award-info":[{"award-number":["305457"]}],"id":[{"id":"10.13039\/100011272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Vaincre La Mucoviscidose"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2024,10,18]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Lung transplantation is a highly dynamic segment of solid organ transplantation in which gender plays a central role. Our objective was to investigate the causes of outcome differences between women and men all along the lung transplantation pathway.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used data from the French COhort in Lung Transplantation (COLT) study (12 participating lung transplantation centres). Analyses were performed in three phases: baseline clinical characteristics, peri-transplantation period and post-transplantation follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 1710 participants (802 women and 908 men) were included in this study. Women were less likely than men to undergo transplantation (91.6% <jats:italic>versus<\/jats:italic> 95.6%; p=0.001) and waited longer before transplantation (115 <jats:italic>versus<\/jats:italic> 73\u2005days; p&lt;0.001). Female gender and pre-transplantation class I anti-human leukocyte antigen antibodies were identified as independent factors associated with longer waiting time duration. Female transplant recipients commonly received lungs from height- and sex-matched donors, despite higher female waiting list mortality and a higher proportion of male donors. Importantly, women with oversized lung transplantation (defined by predicted total lung capacity (pTLC) ratio and weight mismatch) did not have worse survival. The overall post-transplantation survival of female recipients was significantly higher than that of male recipients (65.6% <jats:italic>versus<\/jats:italic> 57.3%; p&lt;0.001), although the prevalence of specific major lung transplantation outcomes did not differ according to gender.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Women waited longer and were less likely to undergo transplantation. Women transplanted with an oversized lung did not have worse survival after transplantation, suggesting that size matching criteria based on pTLC ratio and weight mismatch may be less stringent in this context.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1183\/23120541.00623-2024","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T20:20:15Z","timestamp":1736367615000},"page":"00623-2024","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Increased delay to lung transplantation for women candidates: gender-based disparity matters in the lung transplant 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[Request for access to individual data from organ and tissue collections and transplants.] 2022. www.agence-biomedecine.fr\/Demande-d-acces-aux-donnees-individuelles-issues-des-prelevements-et-des Date last accessed: 24 December 2024."},{"key":"2025090603550566000_11.3.00623-2024.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2022.05.012"},{"key":"2025090603550566000_11.3.00623-2024.17","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"2025090603550566000_11.3.00623-2024.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2013.10.022"},{"key":"2025090603550566000_11.3.00623-2024.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2019.03.009"},{"key":"2025090603550566000_11.3.00623-2024.20","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00289-2020"},{"key":"2025090603550566000_11.3.00623-2024.21","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1016\/j.healun.2021.06.013","article-title":"A simplified strategy for donor-recipient size-matching in lung transplant for interstitial lung disease","volume":"40","author":"Riddell","year":"2021","journal-title":"J Heart Lung Transplant"},{"key":"2025090603550566000_11.3.00623-2024.22","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201301-008OC"},{"key":"2025090603550566000_11.3.00623-2024.23","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1016\/j.healun.2023.02.1496","article-title":"The intersection of race and ethnicity, gender, and primary diagnosis on lung transplantation outcomes","volume":"42","author":"Bonner","year":"2023","journal-title":"J Heart Lung Transplant"},{"key":"2025090603550566000_11.3.00623-2024.24","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1016\/j.healun.2020.07.009","article-title":"The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: 37th adult lung transplantation report \u2013 2020; focus on deceased donor characteristics","volume":"39","author":"Chambers","year":"2020","journal-title":"J Heart Lung Transplant"},{"key":"2025090603550566000_11.3.00623-2024.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2021.06.004"},{"key":"2025090603550566000_11.3.00623-2024.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2014.09.030"},{"key":"2025090603550566000_11.3.00623-2024.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.10.024"},{"key":"2025090603550566000_11.3.00623-2024.28","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2011.07.015"},{"key":"2025090603550566000_11.3.00623-2024.29","doi-asserted-by":"crossref","first-page":"383","DOI":"10.12659\/AOT.915769","article-title":"Effect of calculated panel reactive antibody value on waitlist outcomes for lung transplant candidates","volume":"24","author":"Aversa","year":"2019","journal-title":"Ann Transplant"},{"key":"2025090603550566000_11.3.00623-2024.30","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1513\/AnnalsATS.201810-713OC","article-title":"Association between allosensitization and waiting list outcomes among adult lung transplant candidates in the United States","volume":"16","author":"Tague","year":"2019","journal-title":"Ann Am Thorac Soc"},{"key":"2025090603550566000_11.3.00623-2024.31","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00096108"},{"key":"2025090603550566000_11.3.00623-2024.32","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00390-1"}],"container-title":["ERJ Open Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1183\/23120541.00623-2024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T10:55:17Z","timestamp":1757156117000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.ersnet.org\/lookup\/doi\/10.1183\/23120541.00623-2024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,8]]},"references-count":32,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,5,6]]},"published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1183\/23120541.00623-2024"],"URL":"https:\/\/doi.org\/10.1183\/23120541.00623-2024","relation":{},"ISSN":["2312-0541"],"issn-type":[{"value":"2312-0541","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,8]]}}}