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Renal transplant recipients are followed as out patients at the transplant center for about 8 weeks after surgery. Between 1-2 weeks after surgery, 50 standard immunological patients will be randomized (1:1) to either follow standard of care (SOC) or having every second poli clinical visit without entering the hospital HBM; Home Based Monitoring). They are to take a capillary finger-prick blood sample themselves, send it to the laboratory for analysis and then they will get a telecom follow-up that day from their transplant physician. Outcome is no difference with regards to being able to follow the randomized follow-up procedure.
Renal transplant recipients are followed as out patients at the transplant center for about 8 weeks after surgery. Between 1-2 weeks after surgery, 50 standard immunological patients (i.e. first, kidney (only) transplants, no donors specific antibodies (DSA), panel reactive antibodies (PRA), ABO blood type compatible transplant) will be randomized (1:1) to either follow standard of care (SOC) or having every second poli clinical visit without entering the hospital HBM; Home Based Monitoring). They are to take a capillary finger-prick blood sample themselves and send it to the laboratory for analysis (creatinine, hemoglobin, tacrolimus and mycophenolate) and then they will get a telecom follow-up that day from their transplant physician. Outcome is no difference with regards to being able to follow the randomized follow-up procedure without having acute rejection episodes and no need for extra ou-patients visits for any reason. End of study is week 7-8 after transplantation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of care | Active Comparator | Standard follow-up after kidney transplantation during the first 7-8 post-transplant weeks |
|
| Home-based monitoring | Experimental | Every second visit will be performed without patients actually visiting the hospital. They take a capillary blood sample themselves, send it to the lab and get a telecom follow-up by treating physician the same day. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard follow-up | Procedure | Standard post-transplant follow-up |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Success rate | Complete follow-up without acute rejection and no need for extra visit of any cause | 1-8 weeks post-transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Extra visits to Control immunosuppressive drug levels | Number of extra visits in order to monitoring appropriate drug Levels of immunosuppressive drugs | 1-8 weeks post-transplant |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karsten Midtvedt, MD, PhD | Contact | 0047-23071894 | kmidtved@ous-hf.no | |
| Anders Ã…sberg, PhD | Contact | 0047-23071937 | aaasbe@ous-hf.no |
| Name | Affiliation | Role |
|---|---|---|
| Karsten Midtvedt, MD, PhD | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo Univeristy Hospital - Rikshospitralet | Recruiting | Oslo | 0424 | Norway |
Not allowed without specific ethical committee approval
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| ID | Term |
|---|---|
| D012059 | Rejection, Psychology |
| ID | Term |
|---|---|
| D012919 | Social Behavior |
| D001519 | Behavior |
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Two Groups, randomized 1:1, to a) Standard of care and b) home-based monitoring. Followed between 1-2 to 7-8 weeks after transplantation
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| Home-based monitoring |
| Procedure |
Patients take capillary blood sample by finger-prick and send to lab for analyses. Telecom follow-up that day by treating physician |
|