{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:50:41Z","timestamp":1791345041870,"version":"4.3.1"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Interstitial lung disease (ILD) is a primary indication for lung transplantation (LTx). Close monitoring of disease progression informs transplant urgency, timing, medical and pre\u2010habilitation management, and remote home monitoring may support frequent assessment of clinical status and response to interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>LTx candidates with ILD received a home spirometer, pulse oximeter, and activity tracker. Participants manually entered data weekly and completed the King's Brief ILD questionnaire (KBILD) monthly within a patient portal linked to the electronic medical record (EMR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 63 people approached at the start of outpatient pre\u2010habilitation, 50 (79%) enrolled for additional remote monitoring and 40 (80%) entered data for \u22654 weeks. Reporting adherence was higher for pulse oximetry (82%) and spirometry (69%) than daily steps tracking (31%). During a median LTx waiting period of 11 [4\u201318] weeks, there were no changes in home spirometry or self\u2010reported health status; however, daily step count decreased (mean 5639 \u00b1 3989\u20134653 \u00b1 3303;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04,\n                      <jats:italic>n<\/jats:italic>\n                      = 25). Wait list status for transplant urgency was increased during the study period in 40% of participants. Fraction of inspired oxygen (FiO\n                      <jats:sub>2<\/jats:sub>\n                      ) for exertion increased (median 0.49 [0.17]\u20130.51 [0.16];\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01), with no clinically significant hypoxemia reported after aerobic exercise. For 20 participants using a treadmill for both on\u2010site and home exercise, median on\u2010site walking distance was maintained (912 [469]\u2013966 [497] m;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.64), whereas home\u2010based walking distance declined (1073 [831]\u20131019 [409] m,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Remote monitoring in LTx candidates with ILD was feasible, with data integrated into the EMR for clinicians to view. This can provide multimodal data to inform clinical status changes and interventions. Future plans include direct device (Wi\u2010Fi, Bluetooth) integration of monitoring tools into the EMR to increase reporting and decrease manual entry errors, and building escalation alerts for changes in spirometry, oximetry, and activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70657","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T07:56:08Z","timestamp":1787817368000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Expanding Remote Patient Monitoring for Pre\u2010Lung Transplant Candidates With Interstitial Lung Disease"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6128-8966","authenticated-orcid":false,"given":"Lisa","family":"Wickerson","sequence":"first","affiliation":[{"name":"Toronto Lung Transplant Program University Health Network  Toronto Ontario Canada"},{"name":"Department of Physical Therapy 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University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3305-9338","authenticated-orcid":false,"given":"Nikki","family":"Marks","sequence":"additional","affiliation":[{"name":"Toronto Lung Transplant Program University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4547-8094","authenticated-orcid":false,"given":"Shaf","family":"Keshavjee","sequence":"additional","affiliation":[{"name":"Toronto Lung Transplant Program University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4817-1533","authenticated-orcid":false,"given":"Aman","family":"Sidhu","sequence":"additional","affiliation":[{"name":"Toronto Lung Transplant Program University Health Network  Toronto Ontario 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