Comprehensive Care of the Lung Transplant Patient

Chest. 2017 Jul;152(1):150-164. doi: 10.1016/j.chest.2016.10.001. Epub 2016 Oct 8.


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.

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.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Disease Management
  • Humans
  • Lung Transplantation / adverse effects
  • Lung Transplantation / methods
  • Lung Transplantation / rehabilitation*
  • Multiple Chronic Conditions* / psychology
  • Multiple Chronic Conditions* / therapy
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / etiology
  • Postoperative Complications* / psychology
  • Postoperative Complications* / therapy
  • Quality of Life*
  • Respiratory Insufficiency / diagnosis
  • Respiratory Insufficiency / surgery*
  • Severity of Illness Index