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.
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。