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- Title
Design and methodology of the Swiss Transplant Cohort Study (STCS): a comprehensive prospective nationwide long-term follow-up cohort.
- Authors
Koller, Michael; Delden, Christian; Müller, Nicolas; Baumann, Philippe; Lovis, Christian; Marti, Hans-Peter; Fehr, Thomas; Binet, Isabelle; Geest, Sabina; Bucher, Heiner; Meylan, Pascal; Pascual, Manuel; Steiger, Jürg
- Abstract
In Switzerland, organ procurement is well organized at the national-level but transplant outcomes have not been systematically monitored so far. Therefore, a novel project, the Swiss Transplant Cohort Study (STCS), was established. The STCS is a prospective multicentre study, designed as a dynamic cohort, which enrolls all solid organ recipients at the national level. The features of the STCS are a flexible patient-case system that allows capturing all transplant scenarios and collection of patient-specific and allograft-specific data. Beyond comprehensive clinical data, specific focus is directed at psychosocial and behavioral factors, infectious disease development, and bio-banking. Between May 2008 and end of 2011, the six Swiss transplant centers recruited 1,677 patients involving 1,721 transplantations, and a total of 1,800 organs implanted in 15 different transplantation scenarios. 10 % of all patients underwent re-transplantation and 3% had a second transplantation, either in the past or during follow-up. 34% of all kidney allografts originated from living donation. Until the end of 2011 we observed 4,385 infection episodes in our patient population. The STCS showed operative capabilities to collect high-quality data and to adequately reflect the complexity of the post-transplantation process. The STCS represents a promising novel project for comparative effectiveness research in transplantation medicine.
- Subjects
SWITZERLAND; TRANSPLANTATION of organs, tissues, etc.; FOLLOW-up studies (Medicine); LONGITUDINAL method; PROCUREMENT of organs, tissues, etc.; HEALTH outcome assessment; COHORT analysis
- Publication
European Journal of Epidemiology, 2013, Vol 28, Issue 4, p347
- ISSN
0393-2990
- Publication type
Article
- DOI
10.1007/s10654-012-9754-y