Current Challenges in the Post-Transplant Care of Liver Transplant Recipients in Germany
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Current Challenges in the Post-Transplant Care of Liver Transplant Recipients in Germany. / Herzer, Kerstin; Sterneck, Martina; Welker, Martin-Walter; Nadalin, Silvio; Kirchner, Gabriele; Braun, Felix; Malessa, Christina; Herber, Adam; Pratschke, Johann; Weiss, Karl Heinz; Jaeckel, Elmar; Tacke, Frank.
in: J CLIN MED, Jahrgang 9, Nr. 11, 3570, 05.11.2020.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Current Challenges in the Post-Transplant Care of Liver Transplant Recipients in Germany
AU - Herzer, Kerstin
AU - Sterneck, Martina
AU - Welker, Martin-Walter
AU - Nadalin, Silvio
AU - Kirchner, Gabriele
AU - Braun, Felix
AU - Malessa, Christina
AU - Herber, Adam
AU - Pratschke, Johann
AU - Weiss, Karl Heinz
AU - Jaeckel, Elmar
AU - Tacke, Frank
PY - 2020/11/5
Y1 - 2020/11/5
N2 - 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.
AB - 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.
U2 - 10.3390/jcm9113570
DO - 10.3390/jcm9113570
M3 - SCORING: Journal article
C2 - 33167567
VL - 9
JO - J CLIN MED
JF - J CLIN MED
SN - 2077-0383
IS - 11
M1 - 3570
ER -