Journal of Pain and Symptom Management
Volume 40, Issue 2 , Pages 246-255 , August 2010

Exploring the Meaning of Chronic Rejection After Lung Transplantation and Its Impact on Clinical Management and Caregiving

  • Mi-Kyung Song, PhD, RN

      Affiliations

    • School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Corresponding Author InformationAddress correspondence to: Mi-Kyung Song, PhD, RN, School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall CB #7460, Chapel Hill, NC 27599, USA.
    • ,
  • Annette J. DeVito Dabbs, PhD, RN

      Affiliations

    • School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    • ,
  • Sean M. Studer, MD

      Affiliations

    • Pulmonary Hypertension Program, Newark Beth Israel Medical Center, Newark, New Jersey, USA
    • Lung Transplantation, Newark Beth Israel Medical Center, Newark, New Jersey, USA
    • ,
  • Robert M. Arnold, MD

      Affiliations

    • Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    • Section of Palliative Care and Medical Ethics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
    • Palliative Care Fellowship Training Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
    • ,
  • Joseph M. Pilewski, MD

      Affiliations

    • Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    • Adult Cystic Fibrosis Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
    • Lung Transplant Program, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

,Accepted 4 January 2010.

References 

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  3. Trulock EP, Christie JD, Edwards LB, et al. Registry of the International Society for Heart and Lung Transplantation: twenty-fourth official adult lung and heart-lung transplantation report—2007. J Heart Lung Transplant. 2007;26:782–795
  4. van den Berg JW, van Enckevort PJ, TenVergert EM, Postma DS, van der Bij W, Koeter GH. Bronchiolitis obliterans syndrome and additional costs of lung transplantation. Chest. 2000;118:1648–1652
  5. Vermeulen KM, Groen H, van der Bij W, Erasmus ME, Koeter GH, TenVergert EM. The effect of bronchiolitis obliterans syndrome on health related quality of life. Clin Transplant. 2004;18:377–383
  6. Estenne M, Maurer JR, Boehler A, et al. Bronchiolitis obliterans syndrome 2001: an update of the diagnostic criteria. J Heart Lung Transplant. 2002;21:297–310
  7. Song MK, De Vito Dabbs A, Studer SM, Zangle SE. Course of illness after the onset of chronic rejection in lung transplant recipients. Am J Crit Care. 2008;17:246–253
  8. Song MK, De Vito Dabbs AJ. Advance care planning after lung transplantation: a case of missed opportunities. Prog Transplant. 2006;16:222–225
  9. Song MK, De Vito Dabbs A, Studer SM, Arnold RM. Palliative care referrals after lung transplantation in major transplant centers in the United States. Crit Care Med. 2009;37:1288–1292
  10. Arcasoy SM. Medical complications and management of lung transplant recipients. Respir Care Clin N Am. 2004;10:505–529
  11. De Vito Dabbs A, Song MK. Risk profile for cardiovascular morbidity and mortality after lung transplantation. Nurs Clin North Am. 2008;43:37–53vi
  12. De Vito Dabbs A, Dew MA, Stilley CS, et al. Psychosocial vulnerability, physical symptoms and physical impairment after lung and heart-lung transplantation. J Heart Lung Transplant. 2003;22:1268–1275
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 Funding support was received from the University of Pittsburgh School of Nursing Center for Research and Evaluation.

PII: S0885-3924(10)00310-6

doi: 10.1016/j.jpainsymman.2009.12.014

Journal of Pain and Symptom Management
Volume 40, Issue 2 , Pages 246-255 , August 2010

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