The KTx360°-study: a multicenter, multisectoral, multimodal, telemedicine-based follow-up care model to improve care and reduce health-care costs after kidney transplantation in children and adults
Open accessAbstract
BACKGROUND: Follow-up care after kidney transplantation is performed in transplant centers as well as in local nephrologist's practices in Germany. However, organized integrated care of these different sectors of the German health care system is missing. This organizational deficit as well as non-adherence of kidney recipients and longterm cardiovascular complications are major reasons for an impaired patient and graft survival. METHODS: The KTx360° study is supported by a grant from the Federal Joint Committee of the Federal Republic of Germany. The study will include 448 (39 children) incident patients of all ages with KTx after study start in May 2017 and 963 (83 children) prevalent patients with KTx between 2010 and 2016. The collaboration between transplant centers and nephrologists in private local practices will be supported by internet-based case-files and scheduled virtual visits (patient consultation via video conferencing). At specified points of the care process patients will receive cardiovascular and adherence assessments and respective interventions. Care will be coordinated by an additional case management. The goals of the study will be evaluated by an independent institute using claims data from the statutory health insurances and data collected from patients and their caregivers during study participation. To model longitudinal changes after transplantation and differences in changes and levels of immunosuppresive therapy after transplantation between study participants and historical data as well as data from control patients who do not participate in KTx360°, adjusted regression analyses, such as mixed models with repeated measures, will be used. Relevant confounders will be controlled in all analyses. DISCUSSION: The study aims to prolong patient and graft survival, to reduce avoidable hospitalizations, co-morbidities and health care costs, and to enhance quality of life of patients after kidney transplantation. TRIAL REGISTRATION: ISRCTN29416382 (retrospectively registered on 05.05.2017).
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Telemedical or face-to-face patient communication has been tested successfully in an aftercare program for kidney transplant patients (KTx 360°).
“This form of patient communication has been tested successfully in an aftercare program for KTx patients (KTx 360°; 39).”
From Cognitive-behavioral and dietary weight loss intervention in adult kidney transplant recipients with overweight and obesity: Results of a pilot RCT study (Adi-KTx) (2023) · cites this paper as [39]
The Methods/design sections on video consultations and psychosocial care describe telemedical and face-to-face communication in the KTx360° aftercare program. They describe planned interventions, however, and do not report that this form of communication had been tested successfully. The supplied copy gives no page numbers for these passages. (LLM, conf=0.89)
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References 18 · Cited by 45
- Authors
- Pape, L., de Zwaan, M., Tegtbur, U., Feldhaus, F., Wolff, J., Schiffer, L., Lerch, C., Hellrung, N., Kliem, V, Lonnemann, G., Nolting, H., & Schiffer, M.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- IGES Institut (DE)
- Corresponding author
- Pape, L
- Venue
- BMC Health Services Research
- Published
- 2017-08-23
- Volume
- 17
- Issue
- 1
- Pages
- 587-587
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC5568357
- OpenAlex
- W2747668073
- Cited by
- 45
- References
- 18
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 8 · 2020: 8 · 2019: 7 · 2018: 2 · 2017: 1 · 2016: 1
- FWCI
- 4.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Federal Joint Committee of the Federal Republic of Germany (01NVF16009)
- Topics
- Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Keywords
- kidney transplantation, telemedicine, virtual visits, videoconferencing, integrated care, medication adherence, cardiovascular complications, case management, immunosuppressive therapy, graft survival, patient survival, health care costs, avoidable hospitalizations, children and adults, quality of life
- MeSH terms
- Adult, Aftercare, Child, Female, Germany, Humans, Male, Patient Compliance, Quality of Life, Research Design, Comorbidity, Kidney Transplantation, Cost Savings, Health Care Costs, Telemedicine, Internet, Videoconferencing
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