Determining eligibility for lung transplantation: A nationwide assessment of the cutoff glomerular filtration rate

A pre-transplant GFR ≤ 50 ml/min/1.73 m2 is associated with decreased survival. However, patients with GFR between 40 and 50 ml/min/1.73 m2 do not suffer excessive post-transplant mortality and should not be automatically excluded from listing. Notably, outcomes are worse in patients with poor renal function and concomitant pre-transplant GFR decline. Strategies should be devised to detect and manage interval renal deterioration before lung transplantation.