Table 1.

Suggested pre-listing consultation and workup

Lung transplant evaluation testing

• Full PFT • ABG • 6 Minute Walk • HRCT chest without contrast • CT abdomen with and without contrast—patients >65 years and significant CAD regardless of age • Chest X-ray AP and lateral • Ultrasound of carotid arteries • Ankle Brachial Index 0.5, age > 50 and/or significant CAD • Doppler studies of upper and lower extremities • Panorex • EKG • 2D echo with Doppler and color flow velocity mapping • Right heart catheterization • Left heart catheterization >45 years • Speech consult for swallow assessment; MBS if positive swallowing assessment • PT consult for frailty; strength and endurance; early mobility education • Ultrasound of kidneys for GFR < 50 to assess cortical thickening • Dexa Scan—if never done or > 2 years. After listing decision—not core testing

Lab work

• Comprehensive metabolic profile • CBC with a differential • Coagulation profile • Liver function studies • Lipid profile • Vitamin D • Pre-albumin • Hb A1c • T3 Uptake, free and total T4, TSH • Serum nicotine and cotinine • Drug screening • HLA testing • Panel reactive antigen (PRA) profiles (luminex) • G6PD (only for patients with sulfa allergy or renal insufficiency) time of listing • Immunoglobulins and subclass • Hepatitis A serology (IgG) • Hepatitis B serology • Hepatitis C serology • Herpes simplex 1,2 serology • Varicella serology • CMV serology (IgG) • EBV serology • RPR • Quantiferon Gold • MMR • Toxoplasma serology • Strongyloides serology; add only based on travel history—IgG and 3 stool samples for ova and parasites • HIV serology • Coccidioides serology; add only based on travel history; born in Southwest USA, CA, AZ, NM or lived there for prolonged time • Chagas; if patients are from or visited Latin America: Trypanosoma cruzi antibody total • Urinalysis • Blood group typing

Health maintenance

• PSA • PAP smear • Mammogram • Colonoscopy pt. > 50 or family history or virtual colonography or 2 negative occult fecal test results • Panorex; dental consult if positive findings

Consults/appointments

• Cardiology • Cardiothoracic surgery • GI: endoscopy, pH probe, 24 h manometry for IPF patients or patient’s with symptoms of esophageal dysfunction • Transplant nurse coordinator • Financial coordinator • Social worker • Psychology—by referral only

Abbreviations: ABG arterial blood gas; CMV cytomegalovirus; CT computed tomography; EBV Epstein-Barr virus; EKG electrocardiogram; G6PD glucose-6-phosphate-dehydrogenase; GFR glomerular filtration rate; HIV human immunodeficiency virus; HLA human leukocyte antigen; HRCT high-resolution computed tomography; IPF idiopathic pulmonary fibrosis; MBS modified barium swallow; MMR measles, mumps, and Rubella; PAP Papanicolaou test; PFT pulmonary function testing; PRA panel reactive antibodies; PSA prostate-specific antigen; PT physical therapy; RPR rapid plasma reagin; T3 triiodothyronine; T4 thyroxine; TSH thyroid-stimulating hormone