Page 117 - Exploring the Potential of Self-Monitoring Kidney Function After Transplantation - Céline van Lint

Self-monitoring of renal function: a randomised trial 115
laboratory-based creatinine trends. Home-based creatinine trends were similar to laboratory-based creatinine trends in 78% of the 36 analysable timeframes.
Figure 5. Care consumption and number of SAEs per patient. DISCUSSION
In the first year after kidney transplantation intensive monitoring of kidney function is required to detect potential rejection episodes and other causes of kidney function at an earliest stage. In this study, self-monitoring kidney function after transplantation led to a significant decrease in number of ftf visits and total number of minutes contact time spent per patient. This was achieved without compromising on quality of care, indicated by the absence of differences between intervention and control patients for kidney function, blood pressure, quality of life and general satisfaction over time. Furthermore, results suggest that self-monitoring is safe with regard to discovering deteriorations in kidney function. As the accuracy of the creatinine device used is insufficient for detecting current renal function with a single creatinine measurement[32-34], several measurements are needed to obtain a reliable trend[34]. For the detection of clinically relevant increases in creatinine (>10%), we found a
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