Which patient with COPD most closely meets NICE criteria for consideration of lung-transplant referral?

Question

Accepted Answer

FEV1 46% in a functionally robust ex-smoker after rehabilitation with poor quality of life despite optimal treatment

Answer

FEV1 38%, stopped smoking, completed rehabilitation and has advanced clinical frailty with severe chronic kidney disease

Answer

FEV1 44%, stopped smoking last week, completed rehabilitation but has not received fully optimised inhaled treatment

Answer

FEV1 58%, stopped smoking, completed rehabilitation and has persistent but mild exertional limitation on dual bronchodilation

Answer

FEV1 42%, currently smoking, has not completed pulmonary rehabilitation and remains breathless despite maximal inhaled therapy

Lung Transplant Assessment in Advanced COPD — SCE Palliative Medicine MCQ