| Autor: |
Faye Barker, Oliver D Tavabie, Neil McDougall, Varuna Aluvihare, Matthew E. Cramp, Agimol Pradeep, Wendy Littlejohn, Katie Ramos, Chris Nicholson, Johnny Cash, K. Menon |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Frontline Gastroenterol |
| Popis: |
Liver transplantation (LT) is a life-saving treatment for patients with end-stage chronic liver disease. Given the negative impact of distance from transplant centre on patient outcomes,1 2 King’s College Hospital (KCH) developed a network of satellite liver transplant centres (SLTCs) in Plymouth and Belfast to optimise access to LT.3 These centres deliver transplant assessment and comparable post-LT care to conventional LT centres.4 However, patients are still required to complete their assessments at KCH prior to listing. The COVID-19 pandemic has caused unprecedented strain on health services globally. The UK LT programme was affected with transplantation and assessment occurring only in patients with urgent need.5 However, patients at SLTCs were also subject to travel restrictions which further disadvantaged them compared with local patients. A virtual transplant assessment (VTA) pathway was developed to allow SLTCs to assess their patients for LT locally and to discuss listing without attendance at KCH. Here, we describe our first experiences with this novel pathway. We retrospectively included all patients from both SLTCs who completed an LT assessment between April 2020 and April 2021. The decision for a VTA was made by consensus decision from the … |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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