Long-term Management of the Liver Transplant Patient: Recommendations for the Primary Care Doctor

被引:51
作者
McGuire, B. M. [1 ]
Rosenthal, P. [2 ]
Brown, C. C. [1 ]
Busch, A. M. H. [3 ]
Calcatera, S. M. [1 ]
Claria, R. S. [4 ]
Hunt, N. K. [1 ]
Korenblat, K. M. [5 ]
Mazariegos, G. V. [6 ]
Moonka, D. [8 ]
Orloff, S. L. [7 ]
Perry, D. K. [9 ]
Rosen, C. B. [9 ]
Scott, D. L. [7 ]
Sudan, D. L. [10 ]
机构
[1] Univ Alabama Birmingham, Birmingham, AL USA
[2] Univ Calif San Francisco, San Francisco, CA 94143 USA
[3] Portland VA Med Ctr, Portland, OR USA
[4] Univ Nebraska, Omaha, NE 68182 USA
[5] Washington Univ, St Louis, MO USA
[6] Childrens Hosp Pittsburgh, Pittsburgh, PA 15213 USA
[7] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[8] Henry Ford Hosp, Detroit, MI 48202 USA
[9] Mayo Clin, Rochester, MN USA
[10] Duke Univ, Durham, NC USA
关键词
Immunosuppression; liver; long-term; management; transplantation; BILIARY-TRACT COMPLICATIONS; QUALITY-OF-LIFE; CALCINEURIN INHIBITORS; RENAL DYSFUNCTION; UNITED-STATES; SKIN-CANCER; HEPATITIS-C; MYCOPHENOLATE-MOFETIL; NATURAL-HISTORY; CYCLOSPORINE-A;
D O I
10.1111/j.1600-6143.2009.02733.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
No official document has been published for primary care physicians regarding the management of liver transplant patients. With no official source of reference, primary care physicians often question their care of these patients. The following guidelines have been approved by the American Society of Transplantation and represent the position of the association. The data presented are based on formal review and analysis of published literature in the field and the clinical experience of the authors. These guidelines address drug interactions and side effects of immunosuppressive agents, allograft dysfunction, renal dysfunction, metabolic disorders, preventive medicine, malignancies, disability and productivity in the workforce, issues specific to pregnancy and sexual function, and pediatric patient concerns. These guidelines are intended to provide a bridge between transplant centers and primary care physicians in the long-term management of the liver transplant patient.
引用
收藏
页码:1988 / 2003
页数:16
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