Course of FEV1% predicted (FEV1%pred) after bronchiolitis obliterans syndrome (BOS) onset in lung transplant recipients. FEV1%pred for the average patient profile adjusted for age, pretransplant diagnosis, time-to-BOS, type of transplant, transplant date, and 6-month pre-BOS relative change in FEV1 (rapid vs. gradual onset of BOS) is shown. Numbers of patients at the onset of each time interval are displayed at the bottom. The rate of decline of FEV1%pred changed significantly during the first 2 years after BOS onset (p < 0.0001). The steepest decline was seen in the first 6 months (12% decline; p < 0.0001). The decline between 6 and 12 months was also significant (4% decline; p = 0.01).