Health Care Transition: A Time of Increased Vulnerability for Pediatric Liver Transplant Recipients. Issue 6 (December 2020)

• Record Type: Journal Article
• Authors: Vittorio, Jennifer
• Is Part Of: Journal of pediatric gastroenterology and nutrition. Volume 71:Issue 6(2020)
• Publication Date: 2020-12
• Subjects: adolescents and young adults -- nonadherence -- transfer of care -- transitions of care; Children -- Nutrition -- Periodicals; Pediatric gastroenterology -- Periodicals; Infants -- Nutrition -- Periodicals; Nutrition disorders in children -- Periodicals; Child Nutrition -- Periodicals; Digestive System -- growth & development -- Periodicals; Gastrointestinal Diseases -- Periodicals; Infant Nutrition -- Periodicals; Nutrition Disorders -- Periodicals; Child; 618.923
• DOI: 10.1097/MPG.0000000000002938
• Languages: English
• ISSNs: 0277-2116

Abstract

Abstract : ABSTRACT: Improvements in pediatric liver transplantation (LT) have led to an increased number of patients reaching young adulthood. Young adult LT recipients transferring from pediatric to adult models of care have increased rates of rejection, graft loss, and medical complications. The goal of a health care transition program is to optimize health and assist youth in reaching their full potential. The means to achieve this goal requires an organized transition process to support youth in acquiring independent health care skills, preparing for an adult model of care, and transferring to new providers without disruption in treatment. This can only be achieved through a multidisciplinary approach to transition planning. This is often a labor and resource-intensive undertaking, which may not receive the necessary support from local institutions. Widespread implementation requires the assistance and endorsement from governing organizations at the national and international level.