Current Challenges in the Post-Transplant Care of Liver Transplant Recipients in Germany
Improving long-term patient and graft survival after liver transplantation (LT) remains a major challenge. Compared to the early phase after LT, long-term morbidity and mortality of the recipients not only depends on complications immediately related to the graft function, infections, or rejection, but also on medical factors such as de novo malignancies, metabolic disorders (e.g., new-onset diabetes, osteoporosis), psychiatric conditions (e.g., anxiety, depression), renal failure, and cardiovascular diseases. While a comprehensive post-transplant care at the LT center and the connected regional networks may improve outcome, there is currently no generally accepted standard to the post-transplant management of LT recipients in Germany. We therefore described the structure and standards of post-LT care by conducting a survey at 12 German LT centers including transplant hepatologists and surgeons. Aftercare structures and form of cost reimbursement considerably varied between LT centers across Germany. Further discussions and studies are required to define optimal structure and content of post-LT care systems, aiming at improving the long-term outcomes of LT recipients.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:9 |
|---|---|
| Enthalten in: |
Journal of clinical medicine - 9(2020), 11 vom: 05. Nov. |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Herzer, Kerstin [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Aftercare structures |
|---|
| Anmerkungen: |
Date Revised 28.11.2020 published: Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.3390/jcm9113570 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM317353128 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM317353128 | ||
| 003 | DE-627 | ||
| 005 | 20231225163104.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3390/jcm9113570 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1057.xml |
| 035 | |a (DE-627)NLM317353128 | ||
| 035 | |a (NLM)33167567 | ||
| 035 | |a (PII)E3570 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Herzer, Kerstin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Current Challenges in the Post-Transplant Care of Liver Transplant Recipients in Germany |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 28.11.2020 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Improving long-term patient and graft survival after liver transplantation (LT) remains a major challenge. Compared to the early phase after LT, long-term morbidity and mortality of the recipients not only depends on complications immediately related to the graft function, infections, or rejection, but also on medical factors such as de novo malignancies, metabolic disorders (e.g., new-onset diabetes, osteoporosis), psychiatric conditions (e.g., anxiety, depression), renal failure, and cardiovascular diseases. While a comprehensive post-transplant care at the LT center and the connected regional networks may improve outcome, there is currently no generally accepted standard to the post-transplant management of LT recipients in Germany. We therefore described the structure and standards of post-LT care by conducting a survey at 12 German LT centers including transplant hepatologists and surgeons. Aftercare structures and form of cost reimbursement considerably varied between LT centers across Germany. Further discussions and studies are required to define optimal structure and content of post-LT care systems, aiming at improving the long-term outcomes of LT recipients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Germany | |
| 650 | 4 | |a aftercare structures | |
| 650 | 4 | |a liver transplantation | |
| 650 | 4 | |a liver transplantation center | |
| 650 | 4 | |a long-term outcome | |
| 650 | 4 | |a post-liver transplantation management | |
| 700 | 1 | |a Sterneck, Martina |e verfasserin |4 aut | |
| 700 | 1 | |a Welker, Martin-Walter |e verfasserin |4 aut | |
| 700 | 1 | |a Nadalin, Silvio |e verfasserin |4 aut | |
| 700 | 1 | |a Kirchner, Gabriele |e verfasserin |4 aut | |
| 700 | 1 | |a Braun, Felix |e verfasserin |4 aut | |
| 700 | 1 | |a Malessa, Christina |e verfasserin |4 aut | |
| 700 | 1 | |a Herber, Adam |e verfasserin |4 aut | |
| 700 | 1 | |a Pratschke, Johann |e verfasserin |4 aut | |
| 700 | 1 | |a Weiss, Karl Heinz |e verfasserin |4 aut | |
| 700 | 1 | |a Jaeckel, Elmar |e verfasserin |4 aut | |
| 700 | 1 | |a Tacke, Frank |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of clinical medicine |d 2012 |g 9(2020), 11 vom: 05. Nov. |w (DE-627)NLM230666310 |x 2077-0383 |7 nnns |
| 773 | 1 | 8 | |g volume:9 |g year:2020 |g number:11 |g day:05 |g month:11 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3390/jcm9113570 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 9 |j 2020 |e 11 |b 05 |c 11 | ||