Telemedically Supported Case Management of Living-Donor Renal Transplant Recipients to Optimize Routine Evidence-Based Aftercare: A Single-Center Randomized Controlled Trial.
Source: Schmid et al., 2017 - Pubmed ID: 27873477
Setting: Germany, University hospital
RCT
Follow up: 1 year
Sample size:
Total: 46 (43)
IG: 23 (22)
CG: 23 (21)
Inclusion criteria:
- Living-donor renal transplant recipients
Home monitoring + video consultation
- Data record
- Transmission
- Fluid balance
- Vital signs
- Symptoms
- Immunosuppressives
- Goals
- Self-management
- Self-care
- Specific challenges
- Health priorities in daily living
Intervention: Telemedically supported case management to optimize evidence-based innovative aftercare model. Telemedically equipped team comprising a transplant nurse case manager and two senior transplant physicians (nephrologist, surgeon). Chronic case management process for the first year posttransplant; a case management process applicable for acute care situations. Daily entry of self-measured data.
Duration: 1 year
Add on: NA
Control group: Usual care
Clinical effect:
- Nonadherence↓
- Pre-agreed levels of adherence↑
- CAS↑
- QoL→
Patient safety: NA
Patient experiences: NA
Staff experiences: NA
Investment:
Equipment
- Telemonitoring system
- Laptop
- Touchscreen
Running:
Equipment
- Telemonitoring system
- Laptop
- Touchscreen
Staff
- Monitoring
- Patient education
Organization: NA
Health care utilization:
- Costs↓
- Unplanned acute care↓
- Unplanned prolonged hospitalizations↓
- Ambulatory visits→