“Old-for-Old” in Lung Transplantation? Insights from the ISHLT Database

Background: Lung transplantation is an established treatment strategy for patients with advanced lung disease. However, the number of transplants is limited by the scarcity of suitable donor organs. Currently, donor selection guidelines recommend the use of donors < 55 years of age, which markedly limits the available donor pool. In this study, we use the largest transplant dataset to assess how outcomes in recipients from older donors differ from those of donors < 55 years and to evaluate the interaction with older recipients.