Lung transplant outcomes in recipients of advanced age: Are two always better than one?

Lung transplantation has become more common in patients aged 65 years and older. We aimed to examine outcomes across age groups and identify risk factors for decreased survival. United Network for Organ Sharing data for all primary lung transplants from January 1, 2006, to March 8, 2023, were retrospectively reviewed. The impact of recipient age on survival was analyzed. Of the 33,644 lung transplant recipients who were identified, 23,125 (69%), 7270 (21%), 2895 (9%), and 354 (1%) were aged 12 to 64, 65 to 69, 70 to 74, and 75 to 79 years, respectively. Older patients underwent single lung transplantation more often (12-64 years: 19%, 65-69 years: 41%, 70-74 years: 57%, 75-79 years: 75%, P