Hand Transplantation: Functional and Quality of Life Outcomes
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 10/31/2018 |
| Start Date: | April 2016 |
| End Date: | January 2025 |
| Contact: | Mable Glass, RN |
| Email: | maparks@med.umich.edu |
| Phone: | 734-936-2780 |
VCA (Hand Transplantation): Functional and Quality of Life Outcomes
There is an urgent need to develop hand transplant programs in this country. To this end, the
University of Michigan Hospital and Health Systems is developing such an interdisciplinary
program. The Transplant Center would like to track the patient experience from pre-operative
care through surgery and post-operative care.
Detailed information will be collected from the patient medical records, including:
Pre-operative screening, demographics, medications; Surgical information ; Post-operative
inpatient and out-patient care; laboratory and other test results; physical assessments,
psychological assessments and quality of life assessments.
University of Michigan Hospital and Health Systems is developing such an interdisciplinary
program. The Transplant Center would like to track the patient experience from pre-operative
care through surgery and post-operative care.
Detailed information will be collected from the patient medical records, including:
Pre-operative screening, demographics, medications; Surgical information ; Post-operative
inpatient and out-patient care; laboratory and other test results; physical assessments,
psychological assessments and quality of life assessments.
Vascularized composite tissue allotransplantation (VCA) is the transplantation of multiple
tissues containing skin, muscle, bone, joint, cartilage, nerve, tendon, vessels. VCA is
useful for functional restoration of patients with severe tissue loss as encountered with
massive burns, traumatic injuries, congenital anomalies, and following tumor resection. VCA,
and specifically hand transplantation, combines the technical excellence of hand
surgery/microsurgery with the complex multidisciplinary care rendered in modern solid organ
transplantation. The technical demands of hand transplantation, enhanced donor antigen burden
of the hand allograft, and complex psychosocial issues pertaining to the recipient account
for much of the discrepancy between these 2 related fields.
Detailed information will be collected from the patient medical records, including:
Pre-operative screening, demographics, medications; surgical information ; post-operative
inpatient and out-patient care; laboratory and other test results; physical assessments,
psychological assessments and quality of life assessments.
Specific outcomes will include allograft survival, allograft rejection, allograft
functionality, and quality of life from transplant through 5 years.
tissues containing skin, muscle, bone, joint, cartilage, nerve, tendon, vessels. VCA is
useful for functional restoration of patients with severe tissue loss as encountered with
massive burns, traumatic injuries, congenital anomalies, and following tumor resection. VCA,
and specifically hand transplantation, combines the technical excellence of hand
surgery/microsurgery with the complex multidisciplinary care rendered in modern solid organ
transplantation. The technical demands of hand transplantation, enhanced donor antigen burden
of the hand allograft, and complex psychosocial issues pertaining to the recipient account
for much of the discrepancy between these 2 related fields.
Detailed information will be collected from the patient medical records, including:
Pre-operative screening, demographics, medications; surgical information ; post-operative
inpatient and out-patient care; laboratory and other test results; physical assessments,
psychological assessments and quality of life assessments.
Specific outcomes will include allograft survival, allograft rejection, allograft
functionality, and quality of life from transplant through 5 years.
Inclusion Criteria:
- Patients who have been evaluated and listed for hand transplantation will be
approached to participate in this study.
Exclusion Criteria:
- Those deemed not to be appropriate for listing by the University of Michigan
interdisciplinary evaluation team.
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