title: The transplant patient and transplant medicine in family practice.
abstract: Over the last two decades in particular there has been a remarkable increase in the number of solid organ transplants being performed worldwide alongside improvements in long-term survival rates. However, the infrastructure at transplant centres has been unable to keep pace with the current volume of the transplant patient work load. These pressures on transplant specialist centres has led to calls for an increased role of the general practitioner (GP) managing particular aspects of transplant patients' medical care. Indeed, many aspects of follow-up care such as screening for malignancies, preventing infection through immunisation programmes, and managing cardiovascular risk factors are already important aspects of family practice medicine. This paper aims to review some of the aspects of transplant patient care that is important for healthcare workers in family practice to manage.
authors: Department of Ageing and Health, Academic Foundation Doctor, NHS Tayside and University of Dundee, 1 Albert Crescent, Newport on Tay, Kingdom of Fife, DD6 8DT, Scotland.
authors: Lloyd D
authors: LD
authors: Hughes
keywords: Health promotion; immunosuppression; primary care; transplant medicine
references: Clin Exp Dermatol. 2002 Sep;27(6):436-8
references: 12372077
references: Hypertension. 2006 Mar;47(3):403-9
references: 16432042
references: Liver Transpl. 2001 Nov;7(11 Suppl 1):S2-12
references: 11689771
references: Curr Osteoporos Rep. 2007 Mar;5(1):29-37
references: 17320025
references: Am J Transplant. 2005 Sep;5(9):2236-43
references: 16095503
references: Am J Transplant. 2006;6(5 Pt 2):1111-31
references: 16613591
references: Arch Intern Med. 2002 Aug 12-26;162(15):1761-8
references: 12153380
references: J Gen Intern Med. 2010 Jul;25(7):731-40
references: 20422302
references: JAMA. 2006 Jul 5;296(1):56-63
references: 16820547
references: Nephrol Dial Transplant. 2008 Apr;23(4):1442-6
references: 18065794
references: J Am Soc Nephrol. 2007 Dec;18(12):3031-41
references: 18039925
references: J Med Screen. 2010;17(1):25-30
references: 20356942
references: Br J Dermatol. 2000 Sep;143(3):513-9
references: 10971322
references: J Am Soc Nephrol. 1998 Dec;9(12 Suppl):S16-23
references: 11443763
references: Nephrol Dial Transplant. 1999 Mar;14(3):648-54
references: 10193814
references: Diabetes Res Clin Pract. 2009 Dec;86 Suppl 1:S57-62
references: 20115934
references: Clin Transplant. 2005 Jun;19(3):291-8
references: 15877787
references: Vaccine. 2006 Aug 31;24 Suppl 3:S3/140-6
references: 16950001
references: Am J Kidney Dis. 2003 Aug;42(2):362-9
references: 12900820
references: Circulation. 2009 Jan 20;119(2):351-7
references: 19095622
references: Am J Kidney Dis. 2003 Oct;42(4 Suppl 3):S1-201
references: 14520607
references: Nutrition. 1999 Jun;15(6):507-8
references: 10378210
references: Am J Kidney Dis. 2004 May;43(5 Suppl 1):S1-290
references: 15114537
references: N Engl J Med. 2000 Mar 2;342(9):605-12
references: 10699159
references: Semin Dial. 2007 Sep-Oct;20(5):391-5
references: 17897242
references: Am J Transplant. 2006 Feb;6(2):357-63
references: 16426321
references: Ther Clin Risk Manag. 2005 Sep;1(3):189-99
references: 18360559
references: JAMA. 2000 Feb 2;283(5):633-8
references: 10665703
references: Clin Transplant. 2004 Oct;18(5):596-604
references: 15344967
references: Cochrane Database Syst Rev. 2004;(3):CD000146
references: 15266423
references: Ann Neurol. 1992 Jun;31(6):644-9
references: 1514776
references: J Am Soc Nephrol. 2011 Apr;22(4):598-604
references: 21436284
references: Clin Pharmacokinet. 2004;43(6):361-94
references: 15086275
references: Liver Transpl. 2009 Oct;15(10):1330-5
references: 19790168
references: Clin J Am Soc Nephrol. 2006 Nov;1(6):1300-13
references: 17699362
references: Transplantation. 2000 Dec 15;70(11 Suppl):SS58-63
references: 11152233
references: Transplant Proc. 2010 Jun;42(5):1679-81
references: 20620499
references: Liver Transpl Surg. 1995 Sep;1(5 Suppl 1):55-63
references: 9346601
references: Arch Dermatol. 1986 Nov;122(11):1288-93
references: 3535683
references: Am J Transplant. 2004;4 Suppl 7:13-53
references: 15027968
references: Nephrol Dial Transplant. 2008 Aug;23(8):2457-60
references: 18398015
references: Am J Transplant. 2004 Feb;4(2):262-9
references: 14974949
references: Am J Transplant. 2009 Nov;9 Suppl 3:S1-155
references: 19845597
references: Clin Transplant. 1996 Apr;10(2):213-7
references: 8664522
references: Transplantation. 2003 Dec 15;76(11):1643-4
references: 14702542
references: Liver Transpl Surg. 1995 Sep;1(5 Suppl 1):20-8
references: 9346597
references: JAMA. 2011 Nov 2;306(17):1891-901
references: 22045767
references: Rheumatology (Oxford). 2007 Aug;46(8):1372-4
references: 17522099
references: Am J Med. 1997 Feb 17;102(2A):43-9
references: 9217586
references: Drugs. 1999 Dec;58(6):1011-27
references: 10651388
references: Afr Health Sci. 2011 Sep;11(3):421-6
references: 22275933
references: Transplantation. 2000 Sep 15;70(5):711-6
references: 11003346
references: Nutrition. 1999 Jan;15(1):7-10
references: 9918055
references: Prev Cardiol. 2007 Spring;10(2 Suppl 1):1-4
references: 17396061
references: Hypertension. 1993 Aug;22(2):257-67
references: 8340162
references: Lancet. 2003 Jun 14;361(9374):2024-31
references: 12814712
references: J Child Adolesc Psychopharmacol. 2001 Summer;11(2):193-8
references: 11436960
references: J Am Soc Nephrol. 2000 Apr;11(4):753-759
references: 10752535
references: Osteoporos Int. 2000;11(7):600-6
references: 11069194
references: Clin Transpl. 2001;:1-18
references: 12211771
references: Am J Kidney Dis. 2008 May;51(5):819-28
references: 18436093
references: Transplantation. 2000 Mar 15;69(5):781-9
references: 10755526