eISSN 2329-0358


Get your full text copy in PDF

Structure of Post-Transplant Care in a Single Transplant Center

Agnieszka Szymańska, Leszek Pączek, Krzysztof Mucha, Monika Krajewska, Michał Florczak, Michał Ciszek, Joanna Sańko-Resmer, Andrzej Chmura, Sławomir Nazarewski, Andrzej Górski, Magdalena Durlik, Marek Krawczyk, Bartosz Foroncewicz

(Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland)

Ann Transplant 2016; 21:194-199

DOI: 10.12659/AOT.895981

BACKGROUND: The number of transplant surgeries across the globe has markedly increased in recent decades and is associated with improvement in outcomes. Factors that could improve the organization of post-transplant care are sought. The aim of our study was to evaluate the changes in post-transplant care in the largest Polish transplant center from 2010 to 2014.
MATERIAL AND METHODS: Analysis was performed in all transplant recipients followed up at our center. The following factors were evaluated: changes in patient inflow and outflow, changes in the number of ambulatory visits, causes of loss to follow-up of the patients, and changes in National Health Fund financing. All factors were measured in 5-year period from 2010 to 2014.
RESULTS: Stable year-to-year patient inflow increased by 31% in the total number of patients under follow-up within 5 years. In the same time, the total NHF spending increased by 32%, but spending per patient increased by only 11%. As a consequence, after the initial growth in the years 2010–2012, the number of ambulatory visits per patient per year tended to decline.
CONCLUSIONS: Our study revealed that the real challenge in long-term post-transplant care is the increasing number of patients and the increasing length of their follow-up. Potential risks related to financial expenditure discrepancy between short-term and long-term transplantation procedures were also found.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree