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Canadian Journal of Gastroenterology
Volume 11, Issue 3, Pages 235-238
http://dx.doi.org/10.1155/1997/931868
Hepatology

Profile of a Liver Transplant Follow-Up Clinic in a Nontransplant Canadian Urban Centre

R Bazylewski,1 BG Rosser,1 A Cohen,1 KDE Kaita,2 and GY Minuk2

1Liver Diseases Unit, Departments of Nursing, Medicine and Pharmacology, Health Sciences Centre, Canada
2University of Manitoba, Winnipeg, Manitoba, Canada

Received 7 May 1996; Accepted 6 September 1996

Copyright © 1997 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Care of the growing number of liver transplant recipients will increasingly fall on the referring centres. Thus, there is a need to define more clearly the demographic, clinical and laboratory profiles of liver transplant recipients, particularly in the setting of a centre where a liver transplantation program does not exist. The present study documented these features in 37 patients attending an adult ambulatory care clinic in an urban, nonliver transplant centre. Mean ± SD age of the study population was 44±11.9 years. Twenty-one patients (57%) were male. Annual enrolment in the clinic increased from three patients at the completion of the clinic's first year (1988) to 16 patients in the final year of the study (1993). Time between the transplantation procedure and the patient's return to the referring centre decreased from a mean of 12 weeks in 1988 to four weeks in 1993. During those seven years no patient required an unscheduled return to the transplant centre for surgical complications or problems associated with immunosuppressive therapy. In conclusion, these data provide a profile of liver transplant patients attending a nonliver transplant centre for follow-up and support the concept that nontransplant centres are capable of providing safe and, in terms of travel, less expensive care for liver transplant recipients.