Lung Transplant Considerations for the Community Pulmonologist

  • Between 1988 and 2005, lung transplants annually in the United States increased from 33 to 1,406.
  • Lung transplants are limited by organ availability.
    • Reached a plateau at ˜1,000 patients/year in the United States in 2001
    • Patients waiting for a lung allograft increased to 3,200
    • Median waiting time of more than 2 years
  • Lung allocation score was implemented in May 2005.
    • Allocates organs based on disease severity rather than on waiting time
    • With the implementation of this system, the number of patients currently active and waiting for lung transplantation has decreased to 940.
    • Effect of the lung allocation score on waiting times is yet to be determined.
  • This document is designed to serve as a basic reference for the management of lung transplant recipients with concise presentation of information.
  • Concise Community Physician Office Visit Expectations in Community physician visits and concerns.
  • Communication with the patient’s lung transplant center is necessary when information and guidance is warranted.

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