title: Comprehensive Care of the Lung Transplant Patient.
abstract: 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.
authors.affiliation: Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
authors.forename: Ayodeji
authors.initials: A
authors.lastname: Adegunsoye
authors.affiliation: Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Strek
authors.affiliation: Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL; Lung Transplant Program, University of Chicago, Chicago, IL.
authors.forename: Edward
authors.initials: E
authors.lastname: Garrity
authors.affiliation: Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL; Lung Transplant Program, University of Chicago, Chicago, IL.
authors.forename: Robert
authors.initials: R
authors.lastname: Guzy
authors.affiliation: Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL; Lung Transplant Program, University of Chicago, Chicago, IL. Electronic address: rbag@medicine.bsd.uchicago.edu.
authors.forename: Remzi
authors.initials: R
authors.lastname: Bag
mesh_terms: D019468:Disease Management; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation*; D000071069:Multiple Chronic Conditions / Q000523:psychology / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy; D011788:Quality of Life; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000601:surgery*; D012720:Severity of Illness Index
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