Current Respiratory Care Reports

, Volume 3, Issue 3, pp 103–111

Update to the guidelines for selection of lung-transplant candidates

Lung Transplant (M Zamora, Section Editor)

DOI: 10.1007/s13665-014-0078-0

Cite this article as:
Silhan, L.L. & Orens, J.B. Curr Respir Care Rep (2014) 3: 103. doi:10.1007/s13665-014-0078-0

Abstract

Lung transplantation (LT) for treatment for end stage lung disease is becoming increasingly available, and can improve survival and quality of life for some patients. Because of limited availability of donor organs and because of limited post-transplant survival of recipients, appropriate selection of candidates is invariably important. Since the revision of the 2006 international guidelines for selection of lung-transplant recipients, new literature has continued to improve our understanding of the effect of non-pulmonary comorbidities on disease-specific prognosis. By applying this new understanding to evaluation of potential lung-transplant recipients, we can best ensure optimum allocation of the limited resource of donor organs to recipients that are most likely to benefit from LT. This article will review the most recent literature on lung transplant candidate selection to provide an updated framework for optimum allocation of this limited resource.

Keywords

Lung transplantationEnd stage lung diseaseLung allocation scoreChronic obstructive pulmonary diseaseInterstitial lung diseaseCystic fibrosisPulmonary hypertensionSarcoidosis

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Pulmonary and Critical Care MedicineJohns Hopkins UniversityBaltimoreUSA