Follow-up strategies for lung transplant recipients in France

被引：0

作者：

Degot, T. ^{[1
]}

Douvry, B. ^{[2
,3
]}

Falque, L. ^{[4
]}

Bautin, N. ^{[5
]}

Frachon, I. ^{[6
]}

Mankikian, J. ^{[7
]}

Le Pavec, J. ^{[8
,9
,10
]}

Picard, C. ^{[11
]}

机构：

[1] Hop Univ Strasbourg, Nouvel Hop Civil, Serv Pneumol, Grp Transplantat Pulm, Strasbourg, France

[2] CRCM, Ctr Hosp Intercommunal, Ctr Malad Resp Rares RESPIRARE, Serv Pneumol, Creteil, France

[3] Univ Paris Est Creteil, INSERM, IMRB, F-94010 Creteil, France

[4] CHU Grenoble Alpes, Serv Hosp Univ Pneumol Physiol, Pole Thorax & Vaisseaux, Grenoble, France

[5] Univ Lille, CNRS, Inst Pasteur Lille,INSERM, U1019 UMR 9017 CIIL Ctr Infect & Immun Lille, Lille, France

[6] Hop Cavale Blanche, Serv Pneumol, CHU, Brest, France

[7] Hop Bretonneau, CHU, Serv Pneumol & Explorat Fonct Resp, Tours, France

[8] Grp Hosp Marie Lannelongue St Joseph, Serv Pneumol & Transplantat Pulm, Le Plessis Robinson, France

[9] Univ Paris Saclay, Le Kremlin Bicetre, France

[10] Univ Paris Sud, Grp Hosp Marie Lannelongue St Joseph, INSERM, UMR S 999, Le Plessis Robinson, France

[11] Hop Foch, Serv Pneumol, Grp Transplantat Pulm, Suresnes, France

来源：

REVUE DES MALADIES RESPIRATOIRES | 2023年 / 40卷 / 04期

关键词：

Lung transplantation; Follow-up; Prevention; Comorbidities; Care organization; INTERNATIONAL SOCIETY; HEART; COMPLICATIONS; CANDIDATES; SELECTION;

D O I：

10.1016/j.rmr.2023.01.024

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Background. - Lung transplantation (LT) requires sustained care for a frequently polypatholo-gical condition. Follow-up is focused on three main issues: 1/stability of respiratory function; 2/comorbidity management; 3/preventive medicine. About 3000 LT patients in France are trea-ted in 11 LT centers. Given the increased size of the LT recipient cohort, follow-up might be partially shared with peripheral centers.Methods. - This paper presents the suggestions of a working group of the SPLF (French-speaking respiratory medicine society) on possible modalities of shared follow-up.Results. - While the main LT center is tasked with centralizing follow-up, particularly the choice of optimal immunosuppression, an identified peripheral center (PC) may serve as an alternative to deal with acute events, comorbidities and routine assessment. Communication between the different centers should be free-flowing. Shared follow-up may be offered from the 3rd postoperative year to stable and consenting patients, whereas unstable and non-observant patients are poor candidates.Conclusion. - These guidelines may serve as a reference for any pneumologist wishing to effec-tively contribute to follow-up, even and especially subsequent to lung transplant.(c) 2023 SPLF. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：314 / 323

页数：10

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