LNSLNS From our own experience we wholeheartedly support Dr. Wutzler and Dr. Venner’s request for psychosocial aftercare. We obviously did not dedicate enough space to this important subject in our article. Prof. Floege and Dr. Brandenburg emphasize the importance of customizing therapy to the patient if complex bone disease develops and with regard to the recommended fluid intake. We thank the authors for this valuable addition to our article. We also thank Prof. Gürtler for pointing out that an article such as ours needs to focus on our readers in Germany in a country specific way. We cannot but agree, and have to concede, that the box on page 154 contains information that is primarily relevant for the US, but probably rather less so for Germany. We thank Prof. Gürtler for his helpful comments to your readers. The whole subject of aftercare after organ transplantation is wide and is characterized by a multitude of interdisciplinary interfaces. In our everyday experience, we continue to learn that this task can be tackled and handled successfully only by means of interdisciplinary collaboration and cooperation. The same is true for our article and the reader’s responses to it.
DOI: 10.3238/arztebl.2010.0038b

Dr. med. Harald Schrem
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie
Medizinische Hochschule Hannover
Carl-Neuberg-Stra. 1
30625 Hannover, Germany
schrem.harald@mh-hannover.de

Conflict of interest statement
The authors of all contributions declare that no conflict of interest exists according to the guidelines of the International Committee of Medical Journal Editors.
1.
Schrem H, Barg-Hock H, Strassburg CP, Schwarz A, Klempnauer J: Aftercare for patients with transplanted organs [Nachsorge bei Organtransplantierten]. Dtsch Arztebl Int 2009; 106(9): 148–55.
1. Schrem H, Barg-Hock H, Strassburg CP, Schwarz A, Klempnauer J: Aftercare for patients with transplanted organs [Nachsorge bei Organtransplantierten]. Dtsch Arztebl Int 2009; 106(9): 148–55.