Evidence map›Paper›PMID 34596918›Full record

ArticleClinical transplantation2022

Telemedicine based remote monitoring after liver transplantation: Feasible in a select group and a more stringent control of immunosuppression.

Özgür Muhammet Koc, Marleen Pierco, Kathleen Remans, Thijs Van den Hende, Jef Verbeek, Hannah Van Malenstein, Schalk Van der Merwe, Geert Robaeys, Diethard Monbaliu, Jacques Pirenne and 3 more

Abstract read
In one paragraph

Article in Clinical transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Telenursing in the postoperative period: a scoping review.Revista brasileira de enfermagem · 2024
    Article
  6. Article
  7. Observational
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Özgür Muhammet KocDepartment of Gastroenterology and Hepatology, Ziekenhuis Oost-Limburg, Genk, Belgium.ORCID 0000-0003-3678-5703
Marleen PiercoDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Kathleen RemansDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Thijs Van den HendeDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Jef VerbeekDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Hannah Van MalensteinDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Schalk Van der MerweDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Geert RobaeysDepartment of Gastroenterology and Hepatology, Ziekenhuis Oost-Limburg, Genk, Belgium.
Diethard MonbaliuDepartment of Abdominal Transplantation Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium.
Jacques PirenneDepartment of Abdominal Transplantation Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium.
Bart Van den BoschIT department, University Hospitals Leuven, Leuven, Belgium.
Fabienne DobbelsAcademic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Belgium.ORCID 0000-0002-9502-7374
Frederik NevensDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Telemedicine gained interest in liver transplant patients but focused until now on the early post-operative period. This prospective cohort study assessed feasibility, safety, and clinical beneficial effects of a telemedicine based remote monitoring program (TRMP) for the chronic follow-up of adult liver transplant recipients. Between November 2017 and August 2019, a total of 87 of the 115 selected patients (76%) started the TRMP. Over the 2 years study period, none of the patients switched to standard follow-up: 39/87 (45%) continued to do this autonomously and 48/87 (55%) stopped to report their data personally but communicated their lab values to the nurse. The other 28/115 (11%) patients who did not accept the TRMP continued the standard follow-up. There was no difference in educational level between the three groups. Remote monitoring did not result in an increase in liver graft rejection and need of hospitalization. TRMP was associated with a higher number of tacrolimus level determinations and tacrolimus blood level concentrations could be kept lower. In conclusion, our results show that in patients with a stable clinical condition there is a high willingness to participate in TRMP and that this approach is safe. Remote monitoring allowed a stringent follow-up of tacrolimus levels.

Indexed as

Liver TransplantationTelemedicineAdultGraft RejectionHumansImmunosuppression TherapyImmunosuppressive AgentsProspective StudiesTacrolimusImmunosuppressive AgentsTacrolimuskidney injuryliver transplantremote monitoringtacrolimus levelstelemedicine

Identifiers

PMID34596918
PMCPMC9285405

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.