Position paper: models of post-transplant care for individuals with cystic fibrosis
Position paper: models of post-transplant care for individuals with cystic fibrosis
There is no consensus on the best model of care for individuals with CF to manage the non-pulmonary complications that persist after lung transplant. The CF Foundation virtually convened a group of international experts in CF and lung-transplant care. The committee reviewed literature and shared the post-lung transplant model of care practiced by their programs. The committee then developed a survey that was distributed internationally to both the clinical and individual with CF/family audiences to determine the strengths, weaknesses, and preferences for various models of transplant care. Discussion generated two models to accomplish optimal CF care after transplant. The first model incorporates the CF team into care and proposes delineation of responsibilities for the CF and transplant teams. This model is reliant on outstanding communication between the teams, while leveraging the expertise of the CF team for management of the non-pulmonary manifestations of CF. The transplant team manages all aspects of the transplant, including pulmonary concerns and management of immunosuppression. The second model consolidates care in one center and may be more practical for transplant programs that have expertise managing CF and have access to CF multidisciplinary care team members (e.g., located in the same institution). The best model for each program is influenced by several factors and model selection needs to be decided between the transplant and the CF center and may vary from center to center. In either model, CF lung transplant recipients require a clear delineation of the roles and responsibilities of their providers and mechanisms for effective communication.
Humans, Cystic Fibrosis/surgery, Lung Transplantation/adverse effects, Transplant Recipients, Surveys and Questionnaires, Consensus
374-380
McKone, Edward
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Ramos, Kathleen J.
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Chaparro, Cecilia
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Blatter, Joshua
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Hachem, Ramsey
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Anstead, Michael
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Vlahos, Fanny
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Thaxton, Abby
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Hempstead, Sarah
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Daniels, Thomas
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Murray, Michelle
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Sole, Amparo
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Vos, Robin
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Tallarico, Erin
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Faro, Albert
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Pilewski, Joseph M.
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7 June 2023
McKone, Edward
1885737a-669d-4842-85e8-e444089db59e
Ramos, Kathleen J.
628b73bd-0509-4e78-ac51-19e713b7d181
Chaparro, Cecilia
fbc62cdd-6a12-4136-a71e-f2fa5eeab1c8
Blatter, Joshua
26e7c2bc-192d-4677-a08c-830e5347c006
Hachem, Ramsey
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Anstead, Michael
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Vlahos, Fanny
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Thaxton, Abby
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Hempstead, Sarah
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Daniels, Thomas
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Murray, Michelle
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Sole, Amparo
ca36e279-2b3e-4722-9188-c1925e466383
Vos, Robin
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Tallarico, Erin
54161877-f9e7-4e8f-acae-6e4fc78c365e
Faro, Albert
1007c62e-ab53-4ce0-898a-6255c3878b81
Pilewski, Joseph M.
ac6cee8c-1804-4f78-bc7f-02def47b7ef9
McKone, Edward, Ramos, Kathleen J., Chaparro, Cecilia, Blatter, Joshua, Hachem, Ramsey, Anstead, Michael, Vlahos, Fanny, Thaxton, Abby, Hempstead, Sarah, Daniels, Thomas, Murray, Michelle, Sole, Amparo, Vos, Robin, Tallarico, Erin, Faro, Albert and Pilewski, Joseph M.
(2023)
Position paper: models of post-transplant care for individuals with cystic fibrosis.
Journal of Cystic Fibrosis, 22 (3), .
(doi:10.1016/j.jcf.2023.02.011).
Abstract
There is no consensus on the best model of care for individuals with CF to manage the non-pulmonary complications that persist after lung transplant. The CF Foundation virtually convened a group of international experts in CF and lung-transplant care. The committee reviewed literature and shared the post-lung transplant model of care practiced by their programs. The committee then developed a survey that was distributed internationally to both the clinical and individual with CF/family audiences to determine the strengths, weaknesses, and preferences for various models of transplant care. Discussion generated two models to accomplish optimal CF care after transplant. The first model incorporates the CF team into care and proposes delineation of responsibilities for the CF and transplant teams. This model is reliant on outstanding communication between the teams, while leveraging the expertise of the CF team for management of the non-pulmonary manifestations of CF. The transplant team manages all aspects of the transplant, including pulmonary concerns and management of immunosuppression. The second model consolidates care in one center and may be more practical for transplant programs that have expertise managing CF and have access to CF multidisciplinary care team members (e.g., located in the same institution). The best model for each program is influenced by several factors and model selection needs to be decided between the transplant and the CF center and may vary from center to center. In either model, CF lung transplant recipients require a clear delineation of the roles and responsibilities of their providers and mechanisms for effective communication.
Text
1-s2.0-S1569199323000590-main
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More information
Accepted/In Press date: 20 February 2023
e-pub ahead of print date: 5 March 2023
Published date: 7 June 2023
Keywords:
Humans, Cystic Fibrosis/surgery, Lung Transplantation/adverse effects, Transplant Recipients, Surveys and Questionnaires, Consensus
Identifiers
Local EPrints ID: 489654
URI: http://eprints.soton.ac.uk/id/eprint/489654
ISSN: 1569-1993
PURE UUID: 742e7aed-f030-4e1a-93bf-c2f7ab174495
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Date deposited: 30 Apr 2024 16:42
Last modified: 30 Apr 2024 16:43
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Contributors
Author:
Edward McKone
Author:
Kathleen J. Ramos
Author:
Cecilia Chaparro
Author:
Joshua Blatter
Author:
Ramsey Hachem
Author:
Michael Anstead
Author:
Fanny Vlahos
Author:
Abby Thaxton
Author:
Sarah Hempstead
Author:
Thomas Daniels
Author:
Michelle Murray
Author:
Amparo Sole
Author:
Robin Vos
Author:
Erin Tallarico
Author:
Albert Faro
Author:
Joseph M. Pilewski
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