The smartNTx Trial:Telemedical Management Versus Standard Aftercare in Kidney Transplant Recipients (KTR)

Inclusion Criteria: * Kidney transplantation within last 12 months * Treatment with tacrolimus * Routine aftercare planned at KTC * Ability to use a smartphone or tablet or with help of someone close by * For children \< 12 years parents have to take over the use of the smartphone * Patients who are willing and able to participate in the study and from whom written informed consent has been obtained prior to study participation or pediatric patients with parenteral consent * Ability to communicate in German or English * Adequate and stable renal function (eGFR \> 30 ml/min, Proteinuria \< 1g/g creatinine) eGFR will be determined according to CKD-EPI for adults \[81\] or Schwartz formula for children \[82\] Exclusion Criteria: * Patient with mental dysfunction or inability to comply with the study protocol or pediatric patients whose parents cannot comply with the study protocol * Any significant diseases or clinically significant findings, including psychiatric and behavioral problems, medical history and/or physical examination findings that would in the opinion of the investigator preclude the patient from participating in the study * History of alcohol or drug abuse with less than 6 months of sobriety * Participation in any other interventional clinical trial less than 1 month before participation in this study * Patients who have been institutionalized by official or court order * Patients with a combined kidney transplant or multi-organ recipients (other solid organ (…