506 The Transbronchial Brush Test Circumvents Sampling Limitation Associated with Transbronchial Biopsy and Has Superior Reproducibility for Assessment of Lymphocytic Bronchiolitis

Abstract

by measuring access to LTx and survival (Kaplan Meier) post transplant. Methods and Materials: Structures have been established to ensure access and survival outcomes for remote patients equal those for local patients. These structures include outreach clinics, education and continued ongoing contact emphasising the importance of social support and address the practical, financial and educational needs of patients and carers. Results: In a review of all LTx patients since 2000 (n 556), mean 51 per year, waiting times were compared finding no significant difference. At I year 73% of local patients and 88% of remote patients were transplanted and by 5 years 99% of both groups were transplanted. Both local and distant patients had an 89% 1 year survival, at 5 years local patients had a 52% survival, remote patients 50% and at 10 years it was 39% and 35%. Support is provided through government, community and hospital services. Conclusions: With a careful and structured program patients living a significant distance from the primary hospital receive equal access to LTx procedures with almost identical outcomes.