Bircan Hüseyin Yüce, Özçelik Ümit, Uysal Nida, Demirağ Alp, Haberal Mehmet
From the Department of General Surgery, Baskent University School of Medicine, Istanbul.
Exp Clin Transplant. 2015 Nov;13 Suppl 3:58-61. doi: 10.6002/ect.tdtd2015.P1.
Deceased-donor kidney transplant is unique among surgical procedures that are an urgent procedure performed in an elective population. It has not been possible to accurately determine when a given patient will be called for transplant. Patients on the active transplant list can be called for a transplant at any time. As a result, every effort must be made to optimize their health according to best practices and published clinical practice guidelines.
Once the patient is placed on the transplant wait list after undergoing an initial extensive evaluation, continued surveillance is required. Therefore, we developed a kidney transplant wait list surveillance software program that alerts organ transplant coordinator on time regarding which patients need a work-up.
The new designed software has a database of our waiting patients with their completed and pending controls. The software also has built-in functions to warn the responsible staff with an E-mail. If one of the controls of a recipient delayed, the software sends an automated E-mail to the staff regarding the patients delayed controls. The software is a Web application that works on any platform with a Web browser and Internet connection and allows access by multiple users. The software has been developed with NET platform. The database is SQL server. The software has the following functions: patient communication info, search, alert list, alert E-mail, control entry, and system management.
As of January 2014, a total of 21 000 patients were registered on the National Kidney Transplant wait list in Turkey and the kidney transplant wait list had been expanding by 2000 to 3000 patients each year. Therefore computerized wait list programs are crucial to help to transplant centers to keep their patients up-to-date on time.
在择期人群中进行的紧急外科手术中， deceased - 供体肾移植独具特色。一直以来，无法准确确定何时会通知特定患者进行移植。活跃在移植等待名单上的患者随时可能被通知进行移植。因此，必须尽一切努力依据最佳实践和已发布的临床实践指南优化他们的健康状况。
患者在接受初步全面评估后被列入移植等待名单，之后需要持续监测。因此，我们开发了一个肾移植等待名单监测软件程序，该程序能及时提醒器官移植协调员哪些患者需要进一步检查。
新设计的软件拥有我们等待患者的数据库，其中包含他们已完成和待完成的检查项目。该软件还具备内置功能，可通过电子邮件向负责人员发出警告。如果受者的某项检查延迟，软件会自动向工作人员发送关于该患者延迟检查的电子邮件。该软件是一个网络应用程序，可在任何带有网络浏览器和互联网连接的平台上运行，并允许多用户访问。该软件是基于.NET平台开发的。数据库为SQL服务器。该软件具有以下功能：患者沟通信息、搜索、提醒列表、提醒电子邮件、检查录入和系统管理。
截至2014年1月，土耳其全国肾移植等待名单上共登记了21000名患者，且肾移植等待名单每年以2000至3000名患者的数量在增加。因此，计算机化的等待名单程序对于帮助移植中心及时让患者了解最新情况至关重要。
