Agnieszka Szymańska1, Leszek Pączek1, Krzysztof Mucha1, Monika Krajewska1, Michał Florczak1, Michał Ciszek1, Joanna Sańko-Resmer1, Andrzej Chmura2, Sławomir Nazarewski3, Andrzej Górski4, Magdalena Durlik5, Marek Krawczyk6, Bartosz Foroncewicz1. 1. Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. 2. Department of General and Transplantation Surgery, Medical University of Warsaw, Warsaw, Poland. 3. Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland. 4. Department of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland. 5. Department of Transplantation Medicine and Nephrology, Medical University of Warsaw, Warsaw, Poland. 6. Department of General, Liver and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
Abstract
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.
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.
Authors: Agnieszka Szymańska; Krzysztof Mucha; Maciej Kosieradzki; Sławomir Nazarewski; Leszek Pączek; Bartosz Foroncewicz Journal: Int J Environ Res Public Health Date: 2022-02-11 Impact factor: 3.390
Authors: Shawna Mann; Kyla L Naylor; Eric McArthur; S Joseph Kim; Greg Knoll; Jeffrey Zaltzman; Darin Treleaven; Alexandra Ouedraogo; Anthony Jevnikar; Amit X Garg Journal: Can J Kidney Health Dis Date: 2020-01-25