C91 C92 D46 D47 C82 C83 D60 C90
Conditions
Interventions
Group 1: Intervention group, intensified aftercare: This group receives intensified aftercare following cell therapy with the following components: Home visit by experienced nursing staff coupled with
Sponsors
Medizinische Fakultät der TU Dresden
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Patients capable of giving consent after allogeneic stem cell transplantation or CAR T-cell therapy - Age at inclusion = 18 years - Place of residence in the regular catchment area of one of the centers (Dresden, Leipzig, Chemnitz, Leipzig) - Patient owns a smartphone, can operate it and use the video telephony option never use it - Patient agrees in writing to participate in SPIZ - Patient is a member of a statutory health insurance fund
Exclusion criteria
Exclusion criteria: -Patients who had been discharged from hospital after allogeneic stem cell transplantation or CAR T-cell therapy was more than 8 days ago at the time of inclusion - Insufficient language skills for the German-language app and questionnaires used in the project. questionnaires used in the project - Place of residence outside the regular catchment area of the treating clinic (e.g. > 200 km) - Patient cannot be cared for in an outpatient setting - Patient is not a member of a statutory health insurance fund or has not signed the consent form. declaration of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease-specific rehospitalization or death; confirmatory review at month 12 after primary discharge. Descriptive comparisons of frequency differences at months 6, 18 and 24. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Complications (death, infection, GvHD, recurrence of the underlying disease): Frequency as well as over time, duration and frequencies of inpatient stays, frequencies of symptoms (e.g. food intake, weight, temperature, skin changes, bowel movements, neurological symptoms, pain, blood pressure) - Quality of life via questionnaires and answers in app, empowerment via pathway adherence (recording symptoms, medication intake, activities e.g. steps/day) and analysis of interviews - Analysis of interviews with patients and service providers, questionnaires on satisfaction - Health economic evaluation of AOK policyholders: frequency and costs of inpatient stays and outpatient costs, costs of outpatient medication, travel costs, level of care, palliative care, costs of the new form of care | — |
Countries
Germany
Contacts
Public ContactJan Moritz Middeke
Medizinische Fakultät Dresden
Outcome results
None listed