title: Structure of Post-Transplant Care in a Single Transplant Center.
abstract: BACKGROUND
  The number of transplant surgeries across the globe has markedly increased in recent decades and is associated with improvement in outcomes. Factors that could improve the organization of post-transplant care are sought. The aim of our study was to evaluate the changes in post-transplant care in the largest Polish transplant center from 2010 to 2014.
  
  
  METHODS
  Analysis was performed in all transplant recipients followed up at our center. The following factors were evaluated: changes in patient inflow and outflow, changes in the number of ambulatory visits, causes of loss to follow-up of the patients, and changes in National Health Fund financing. All factors were measured in 5-year period from 2010 to 2014.
  
  
  RESULTS
  Stable year-to-year patient inflow increased by 31% in the total number of patients under follow-up within 5 years. In the same time, the total NHF spending increased by 32%, but spending per patient increased by only 11%. As a consequence, after the initial growth in the years 2010-2012, the number of ambulatory visits per patient per year tended to decline.
  
  
  CONCLUSIONS
  Our study revealed that the real challenge in long-term post-transplant care is the increasing number of patients and the increasing length of their follow-up. Potential risks related to financial expenditure discrepancy between short-term and long-term transplantation procedures were also found.
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Szymańska
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Leszek
authors.initials: L
authors.lastname: Pączek
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Mucha
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Monika
authors.initials: M
authors.lastname: Krajewska
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Florczak
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Ciszek
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Sańko-Resmer
authors.affiliation: Department of General and Transplantation Surgery, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Chmura
authors.affiliation: Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Nazarewski
authors.affiliation: Department of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Górski
authors.affiliation: Department of Transplantation Medicine and Nephrology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Durlik
authors.affiliation: Department of General, Liver and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Krawczyk
authors.affiliation: Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Foroncewicz
mesh_terms: D000553:Ambulatory Care / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends; D005500:Follow-Up Studies; D006801:Humans; D016377:Organ Transplantation; D011044:Poland; D011182:Postoperative Care / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data / Q000639:trends