4.7 Article

Comprehensive Care of the Lung Transplant Patient

Journal

CHEST
Volume 152, Issue 1, Pages 150-164

Publisher

ELSEVIER
DOI: 10.1016/j.chest.2016.10.001

Keywords

adherence; chronic medical conditions; coordination of care; drug interactions; immunization; immunocompromised; lung transplantation; obesity; preventive medicine; primary care; pulmonary fibrosis; pulmonary rehabilitation; quality improvement; reproductive health; screening

Funding

  1. National Institutes of Health [T32 HL 07605]

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Lung transplantation has evolved into a life-saving treatment with improved quality of life for patients with end-stage respiratory failure unresponsive to other medical or surgical interventions. With improving survival rates, the number of lung transplant recipients with preexisting and posttransplant comorbidities that require attention continues to increase. A partnership between transplant and nontransplant care providers is necessary to deliver comprehensive and optimal care for transplant candidates and recipients. The goals of this partnership include timely referral and assistance with transplant evaluation, optimization of comorbidities and preparation for transplantation, management of common posttransplant medical comorbidities, immunization, screening for malignancy, and counseling for a healthy lifestyle to maximize the likelihood of a good outcome. We aim to provide an outline of the main aspects of the care of candidates for and recipients of lung transplants for nontransplant physicians and other care providers.

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