Abstract：
BACKGROUND: Lung transplantation (LT) requires sustained care for a frequently polypathological 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 treated 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.
CONCLUSIONS: These guidelines may serve as a reference for any pneumologist wishing to effectively contribute to follow-up, even and especially subsequent to lung transplant.
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.
CONCLUSIONS: These guidelines may serve as a reference for any pneumologist wishing to effectively contribute to follow-up, even and especially subsequent to lung transplant.
摘要：
背景：肺移植（LT）需要对经常发生的多病理状况进行持续护理。随访集中在三个主要问题上：1/呼吸功能的稳定性；2/合并症管理；3/预防医学。法国约有3000名LT患者在11个LT中心接受治疗。鉴于LT接受者队列的规模增加，随访可能部分与外围中心共享.
方法：本文介绍了SPLF（法语呼吸医学学会）工作组对共享随访的可能方式的建议。
结果：虽然主要LT中心的任务是集中随访，特别是最佳免疫抑制的选择，确定的外围中心（PC）可以作为处理急性事件的替代方案，合并症和常规评估。不同中心之间的交流应该是自由流动的。从术后第3年开始，可以对稳定且同意的患者进行共享随访。而不稳定和未观察到的患者是较差的候选人。
结论：这些指南可以作为任何希望有效促进随访的肺炎学家的参考，甚至尤其是在肺移植之后。
方法：本文介绍了SPLF（法语呼吸医学学会）工作组对共享随访的可能方式的建议。
结果：虽然主要LT中心的任务是集中随访，特别是最佳免疫抑制的选择，确定的外围中心（PC）可以作为处理急性事件的替代方案，合并症和常规评估。不同中心之间的交流应该是自由流动的。从术后第3年开始，可以对稳定且同意的患者进行共享随访。而不稳定和未观察到的患者是较差的候选人。
结论：这些指南可以作为任何希望有效促进随访的肺炎学家的参考，甚至尤其是在肺移植之后。
