Krakow University Hospital

Krakow, POLAND

Area of expertise and the Healthcare Provider’s contribution to care for patients within the MetabERN Network

Department of Metabolic Diseases, is a leading centre that has been covering the care of patients with metabolic disorders mainly from southern and south-eastern Poland. His care of these include patients with classical civilization diseases as well as patients with genetically determined metabolic disorders as of monogenic form of diabetes, familial hypercholesterolemia and rare inherited metabolic diseases. It is one of the few cents specialized in the care of adult patients with congenital metabolic diseases. For more than 10 years in the Department of Metabolic Diseases, patients with lysosomal storage diseases are being treated within the therapeutic programs, funded by the National Ministry of Health. Department of Metabolic Diseases, works closely with the University Children’s Hospital and the Specialist Children’s Hospital, both in terms of training for professionals as well as in the conduct of care for patients with rare diseases have been developed, and is still improved system for communicating adolescent patients with congenital metabolic disorders from paediatric care to the care of specialists in internal model diseases.
In addition to medical activity, as Chair of the University Centre conducts training of medical staff both students the Faculty of Medicine at the Jagiellonian University as well as physicians at the postgraduate training and specialization courses ; in the field of metabolic diseases. Cathedral remains in constant cooperation with both regional research centres and university centres from other cities in Poland and abroad, which is associated with publication of joint research.

SPECIFIC TREATMENTS AND INTERVENTIONS PROVIDED BY THE HCPs

Patients with rare metabolic diseases are covered by medical care in the Department of Metabolic Diseases in two ways.
As part of care on the ward they receive ERT (therapeutic programs financed by the National Ministry of Health). Visits, depending on the type of drug, are held at a frequency of once a week or every two weeks. Patients are covered by comprehensive care and monitoring of their health including, inter alia, specialist consultations at least once a year, imaging and biochemical tests.
The second group consists of patients treated within the outpatient clinic, patients are held visits with the frequency depending on the patient’s condition. In these patients, regular checkups, laboratory and imaging are performed. Depending on the needs and the reported complaints and clinical symptoms, they are consulted by specialists. Both, patients treated in the ward, as well as patients treated in the Outpatient clinics; are subject to comprehensive care specialist. Within the University Hospital of the necessary specialized clinic needed to monitor patients are located. If necessary, the patients are hospitalized at the Department of Metabolic Diseases, or other clinic within the University Hospital (such as the Department of Gynecology).
Thanks to modern equipment, University Hospital, patients can conduct research needed to monitor the effectiveness of a therapy or disease severity. Routine biochemical, hormonal and immunological tests are performed in the Department of Diagnostic University Hospital. Thanks to the cooperation with the centers in the country we can perform qualitative and quantitative determinations (for example chitotriosidase level, or ceramides excretion in the urine). Department of Metabolic Diseases, also cooperates with foreign centers where the study of genetics, enzyme assays and molecular biology are carried out.

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    Beata Magdalena Kiec-Wilk

    Director Centre for Rare Diseases Helios Dr. Horst Schmidt Kliniken , Wiesbaden Germany