Translating Research Into Real-World Impact for Patients with Complex Lung Disease
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In this episode of the Becker's Healthcare Podcast, host Lucas Voss interviews Dr. Geraint Kreiner, Chair and Professor of Thoracic Medicine and Surgery at Temple University's Lewis Katt School of Medicine and Director of the Temple Lung Center. Dr. Kreiner shares insights into how Temple Health achieved a national record of 179 lung transplants in 2025, attributing their success to a highly coordinated, multidisciplinary team approach that spans pulmonary, surgical, critical care, anesthesia, rehabilitation, and support staff. He emphasizes that transplant success hinges not on volume alone, but on sustained quality outcomes, long-term patient monitoring for complications like chronic lung allograft dysfunction, and a comprehensive care model that supports patients even when transplant isn't an option. Dr. Kreiner also discusses the critical role of academic medicine in driving innovation through research, evidence-based practice, and patient-centered care, urging health systems to prioritize holistic, compassionate models that improve patient trajectories and reduce the need for transplants in the future.
Lung transplant success depends on multidisciplinary teamwork, not just high volume.
High-volume programs must invest in long-term follow-up and research to manage chronic complications like lung allograft dysfunction.
Academic medicine is essential for developing evidence-based care models and driving innovation in complex lung disease.
Patient-centered care—treating the whole person, not just the disease—leads to better outcomes and sustainable program growth.
Transplant programs should serve as part of a broader advanced lung disease care ecosystem, offering alternatives when transplant isn't viable.
Introduction to Dr. Geraint Kreiner and Temple's Lung Transplant Leadership
“Temple Health broke an all-time record in 2025 with 179 lung transplants and your program has led the nation in volume for several years now.”
The Teamwork Behind High-Volume Transplant Success
Dr. Kreiner explains that transplant success is a 'team sport' requiring seamless collaboration across dozens of specialties, from surgeons and anesthesiologists to pharmacists and psychologists.
Data and Infrastructure: Managing Surge and Operational Flow
The conversation turns to how data and infrastructure enable Temple to handle unpredictable transplant surges, with rapid patient evaluations and 24/7 staffing across departments.
Beyond Transplant: The Need for Comprehensive Lung Disease Care
“You can't be a transplant program, it's that or nothing. You have to be able to offer other solutions for patients...”
The Future of Lung Disease Care: Research, Innovation, and Patient-Centered Models
“The future is try to do our best to study and research these diseases so we can change the trajectory so that patients won't need as much transplant in the future.”
“A good doctor treats a disease, a great doctor treats the patient.”
“Volume isn't the factor that drives a program. It's quality outcomes, not for the short term but for the long term.”
“The future is try to do our best to study and research these diseases so we can change the trajectory so that patients won't need as much transplant in the future.”
Host
Guest
Dr. Geraint Kreiner
person
Temple University
organization
Temple Health
organization
COPD
other
emphysema
other
Lewis Katt School of Medicine
organization
chronic lung allograft dysfunction
other
interstitial lung diseases
other
STACOPE
other
Liberate
other
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