Transplant Centers are facing new organisational challenges with regards to the growing number of patients they have to follow-up. We have developed and assessed the feasibility of using a novel web application permitting a medically-tailored follow-up of stable renal transplanted outpatients: Ap'TELECARE. This novel approach is likely to facilitate the organization of patients' follow-up at the Transplant Centre level as well as to provide secondary individual benefits in terms of therapeutic education, adherence to treatment and eventually to improve long term outcome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
738
an internet application on a computer, tablet or smartphone
a group of renal transplant outpatients consulting their Transplant Centre following a traditional schedule
Clermont-Ferrand, CHU Site Gabriel-Montpied
Clermont-Ferrand, France
CHU Saint-Etienne
Saint-Etienne, France
Patients experiencing at least one episode of graft dysfunction
graft dysfunction defined by a drop of at least 20% of their usual estimated Glomerular Filtration Rate (eGFR) value)
Time frame: 2 years
Failure of immunosuppressive treatment
Detection of donor-specific anti-HLA (Human Leukocyte Antigen) antibodies by LUMINEX technic
Time frame: 2 years
number of patients who needed to return to dialysis
Time frame: 2 years
number of patients with acute or chronic transplant rejection
Time frame: 2 years
Post-transplant complication
Time frame: 2 years
Death
Time frame: 2 years
Quality of life assessed
EuroQol group - 5 Dimensions ( EQ-5D) scale
Time frame: 2 years
Level of anxiety and depression
Hospital Anxiety and Depression (HAD) scale
Time frame: 2 years
Incremental cost-effectiveness evaluation criteria
Cost per QALY earned (QALYs estimated from the EuroQol group - 5 Dimensions ( EQ-5D) quality of life scale).
Time frame: 2 years
Evaluation criteria for the Budget Impact Analysis
Average cost saved per 100 patients treated in the "Ap'Telecare group" compared to the "traditional follow-up".
Time frame: 2 years
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