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Schiffer L, Hartleib-Otto M, Lerch C, et al. Herausforderungen der ambulanten Nachsorge von nierentransplantierten Patienten in spezialisierten Transplantationszentren. [Challenges in Long-Term Follow-Up Care of Patients After Kidney Transplantation in Specialized Transplant Centers]. Gesundheitswesen. 2019;82(11):890-893doi: 10.1055/a-0883-5218.
Schiffer, L., Hartleib-Otto, M., Lerch, C., Haller, H., Pape, L., & Schiffer, M. (2020). Herausforderungen der ambulanten Nachsorge von nierentransplantierten Patienten in spezialisierten Transplantationszentren. [Challenges in Long-Term Follow-Up Care of Patients After Kidney Transplantation in Specialized Transplant Centers]. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 82(11), 890-893. https://doi.org/10.1055/a-0883-5218
Schiffer, Lena, et al. "Herausforderungen der ambulanten Nachsorge von nierentransplantierten Patienten in spezialisierten Transplantationszentren." [Challenges in Long-Term Follow-Up Care of Patients After Kidney Transplantation in Specialized Transplant Centers]. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) vol. 82,11 (2020): 890-893. doi: https://doi.org/10.1055/a-0883-5218
Schiffer L, Hartleib-Otto M, Lerch C, Haller H, Pape L, Schiffer M. Herausforderungen der ambulanten Nachsorge von nierentransplantierten Patienten in spezialisierten Transplantationszentren. [Challenges in Long-Term Follow-Up Care of Patients After Kidney Transplantation in Specialized Transplant Centers]. Gesundheitswesen. 2020 Nov;82(11):890-893. doi: 10.1055/a-0883-5218. Epub 2019 Jun 11. German. PMID: 31185500.
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Gesundheitswesen. 2020 Nov;82(11):890-893. doi: 10.1055/a-0883-5218. Epub 2019 Jun 11.

[Challenges in Long-Term Follow-Up Care of Patients After Kidney Transplantation in Specialized Transplant Centers].

Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

[Article in German]
Lena Schiffer, Melanie Hartleib-Otto, Christian Lerch, Hermann Haller, Lars Pape, Mario Schiffer

Affiliations

  1. Klinik für Pädiatrische Nieren , Leber- und Stoffwechselerkrankungen, Zentrum fur Kinderheilkunde und Jugendmedizin, Medizinische Hochschule Hannover.
  2. Nieren- und Hochdruckerkrankungen, Medizinische Hochschule Hannover, Hannover.
  3. Medizinische Klinik 4, Universitätsklinikum Erlangen, Erlangen.

PMID: 31185500 DOI: 10.1055/a-0883-5218

Abstract

Medical care after kidney transplantation requires a close follow-up in specialized transplant centers to minimize complications. Especially in bigger territorial states, the distance the patients have to cover is an underestimated problem for the patients. We performed a survey of 498 patients who underwent kidney transplantation at the transplant center of Hannover Medical School in Lower Saxony in order to find out the burden imposed by having to travel to one of the outpatient clinics affiliated with it for follow-ups. We found that 72% of the patients had to travel more than 100 km to reach the outpatient clinic and the costs for the trip were € 36.30 (standard deviation € 34.15). A distance between home and transplant center of more than 100 km reduced the motivation to attend the outpatient clinic significantly (p=0.023), whereas reimbursement of travel costs improved the motivation to attend the outpatient clinic only partially (p=0.012). We conclude that novel modern media-based care models like televisits could reduce patient burdens and optimize post-transplant care.

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Conflict of interest statement

Die Autoren geben an, dass kein Interessenkonflikt besteht.

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