{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:19:48Z","timestamp":1787681988479,"version":"build-2784847793"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Dysphagia, gastroesophageal reflux disease (GERD), and delayed gastric emptying (DGE) are foregut risk factors associated with worse lung transplant outcomes. Transplant education varies across centers, and patient awareness of these risk factors could impact treatment adherence and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pre\u2010 and post\u2010lung transplant patients attending pulmonary rehabilitation between 01\/2025\u201306\/2025 were invited to complete a questionnaire developed by a multidisciplinary team to assess knowledge, perceived importance, and self\u2010confidence in understanding the evaluation and management of foregut risks. Knowledge and confidence of disease factors were evaluated and assessed. Patient demographics, transplant history, and education preferences were collected. Comparisons were made between pre\u2010 and post\u2010transplant groups using Chi\u2010square tests for categorical measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 67 eligible patients, 48 (71.6%) completed the survey. There were no significant differences in age, sex, race, education level, or household income between pre\u2010 and post\u2010transplant groups. Recognition of GERD as a risk factor for graft rejection was similar between pre\u2010 and post\u2010transplant groups (24, 85.7%\u00a0vs. 19, 95.0%;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.30), as was overall confidence in understanding DGE as a risk factor (19, 67.9%\u00a0vs. 13, 65.0%;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.84). Respondents preferred to receive information on risks from the lung transplant team, but most (\n                      <jats:italic>n<\/jats:italic>\n                      = 28, 58.3%) patients indicated gastroenterologists should be most responsible for educating about and managing foregut risks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Knowledge of foregut risks and corresponding confidence is high before and after transplant, which may reflect standardized education. Most patients preferred gastroenterology engagement in education on foregut disease, which is currently underutilized and could be an opportunity for multidisciplinary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70650","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T15:17:41Z","timestamp":1787152661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lung Transplant Patient Knowledge of Gastroesophageal Reflux Disease and Foregut Risk Factors Associated With Graft Rejection"],"prefix":"10.1111","volume":"40","author":[{"given":"Annie L.","family":"Wang","sequence":"first","affiliation":[{"name":"Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob A.","family":"Klapper","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Duke University Medical Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Critical Care Medicine Duke University Medical Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Rich","sequence":"additional","affiliation":[{"name":"Lung Transplant Program, Duke Transplant Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra L.","family":"Gerity","sequence":"additional","affiliation":[{"name":"Lung Transplant Program, Duke Transplant Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Leiman","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Duke Clinical Research Institute  Durham North Carolina 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