Renal Transplant Patient
Conditions
Keywords
Renal graft, Teleconsultation, Kidney transplant failure score
Brief summary
The main objective of this study is to optimize the coverage of renal transplant patients thanks to a personalized follow-up based on a risk score of early graft failure (KTFS, Kidney Transplant Failure Score), associated with teleconsultations.
Interventions
OTHERTeleconsultation / Standard consultation
Stage 1: randomization. Two arms: teleconsultation and standard consultation Stage 2: calculation of Kidney Transplant Failure Score which will determine 4 sub-groups: teleconsultation high risk, teleconsultation low risk, standard consultation high risk and standard consultation low risk. Stage 3: follow-up (2 years) according to the group: * Standard consultation low risk: consultation every 2 months during one year and then every 3 months during one year * Standard consultation high risk: consultation every 6 weeks during one year and then every 2 months during one year * Teleconsultation low risk: same follow-up as "standard consultation low risk" group but all the consultations are teleconsultations * Teleconsultation high risk: same follow-up as "standard consultation high risk" group but the follow-up will be intensified by the addition of an intermediate teleconsultation (between 2 consultations)
Sponsors
Nantes University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patient * Having received a deceased donor renal transplant one year ago * Having an access internet high-speed * Having a compatible computer and supporting the videoconference * Calculable KTFS (Kidney Transplant Failure Score) * Patient having participated in a therapeutic educational program * Patient has given informed consent * Patient insured
Exclusion criteria
* Patient under age 18 * Patient having received a multi-organ transplant (heart kidney / liver kidney / kidney pancreas / lung kidney / heart lung kidney) * Patient non-compliant * BK virus nephropathy or BK positive viremia * CMV positive viremia * Identified and treated psychiatric disorders * Participation in another clinical study * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of serious adverse events | 2 years | The main objective of this study is to optimize the coverage of renal transplant patients thanks to a personalized follow-up based on a risk score of early graft failure (KTFS, Kidney Transplant Failure Score), associated with teleconsultations. |
Secondary
| Measure | Time frame |
|---|---|
| Cost-effectiveness of the personalized follow-up | 2 years |
| Quality of life linked to the health of transplant patients | 2 years |
Countries
France
Outcome results
None listed