Liver Transplantation in Children DOI
Bijan Eghtesad, Koji Hashimoto, John J. Fung

et al.

Elsevier eBooks, Journal Year: 2021, Volume and Issue: unknown, P. 872 - 884.e5

Published: Jan. 1, 2021

Language: Английский

Posttransplant Medical Adherence: What Have We Learned and Can We Do Better? DOI
Mary Amanda Dew, Donna M. Posluszny,

Andrea F. DiMartini

et al.

Current Transplantation Reports, Journal Year: 2018, Volume and Issue: 5(2), P. 174 - 188

Published: April 17, 2018

Language: Английский

Citations

34

Pediatric Organ Donation and Transplantation: Across the Care Continuum DOI Open Access

Benson Hsu,

Alexander Bondoc,

Alex G. Cuenca

et al.

PEDIATRICS, Journal Year: 2023, Volume and Issue: 152(2)

Published: July 24, 2023

This policy statement aims to enhance comfort and increase knowledge of pediatric organ donation transplantation the general community, specifically focusing on health care professional medical home. The will for neonates, infants, children, adolescents who may become donors or transplant recipients and, thus, is a crucial member patient's team. Understanding donation, transplantation, follow-up are important primary engagement. Furthermore, play role in shaping public policies related process access transplantation.

Language: Английский

Citations

7

Improvements in intestine transplantation DOI Creative Commons
Neslihan Celik,

Kaitlin Stanley,

Jeff B. Rudolph

et al.

Seminars in Pediatric Surgery, Journal Year: 2018, Volume and Issue: 27(4), P. 267 - 272

Published: July 29, 2018

Transplantation of the intestine in children has presented significant challenges even as it become a standard to treat nutritional failure due short gut syndrome. These have been addressed part by improvements and long-term care. Noteworthy enhancements include reduced need for transplantation, drug-sparing immunosuppressive regimens, immune monitoring, improved surveillance management PTLD non-adherence.

Language: Английский

Citations

17

Pregnancy and donor-specific HLA-antibody-mediated rejection after liver transplantation: “Liaisons dangereuses”? DOI Creative Commons
Jérôme Dumortier,

Tomáš Dědič,

Domitille Erard‐Poinsot

et al.

Transplant Immunology, Journal Year: 2019, Volume and Issue: 54, P. 47 - 51

Published: Feb. 10, 2019

Language: Английский

Citations

15

Adult provider role in transition of care for young adult pediatric recipients of liver transplant: An expert position statement DOI Creative Commons
Jennifer Vittorio, Beverly Kosmach‐Park, Sharad I. Wadhwani

et al.

Hepatology Communications, Journal Year: 2024, Volume and Issue: 8(8)

Published: July 18, 2024

Health care transition (HCT) is the process of changing from a pediatric to an adult model care. Young recipients liver transplant transferring health services are highly vulnerable and subject poor long-term outcomes. Barriers successful multifaceted. A comprehensive HCT program should be initiated early in pediatrics continued throughout young adulthood, even after transfer has been completed. It critical that providers establish partnership optimize for these patients. Adult must recognize importance need continue following transfer. While this focus on essential, current literature primarily offered guidance providers. This position paper outlines framework with sample set tools implementation standardized, multidisciplinary approach utilizing “The Six Core Elements HCT.” To implement more effective strategies work improve outcomes patients undergoing transplant, mandated as routine part posttransplant Increased advocacy efforts additional backing support governing organizations required help facilitate practices.

Language: Английский

Citations

1

Remote intervention engagement and outcomes in the Clinical Trials in Organ Transplantation in Children consortium multisite trial DOI Creative Commons
Sarah Duncan-Park, Claire Dunphy, Jacqueline Becker

et al.

American Journal of Transplantation, Journal Year: 2021, Volume and Issue: 21(9), P. 3112 - 3122

Published: March 22, 2021

Remote interventions are increasingly used in transplant medicine but have rarely been rigorously evaluated. We investigated a remote intervention targeting immunosuppressant management pediatric lung recipients. Patients were recruited from larger multisite trial if they had Medication Level Variability Index (MLVI) ≥2.0, indicating worrisome tacrolimus level fluctuation. The manualized included three weekly phone calls and regular follow-up calls. A comparison group patients who met enrollment criteria after the subprotocol ended. Outcomes defined before intent-to-treat analysis. Feasibility was as ≥50% of participants completing MLVI compared pre- 180 days postenrollment between groups. Of 18 eligible patients, 15 enrolled. Seven additional served comparison. Seventy-five percent completed ≥3 calls; average time on protocol 257.7 days. Average significantly lower (indicating improved blood stability) at (2.9 ± 1.29) with pre-enrollment (4.6 2.10), p = .02. At days, decreased by 1.6 points increased 0.6 (p .054). Participants successfully engaged long-term intervention, their medication levels stabilized. NCT02266888.

Language: Английский

Citations

6

Post-transplant Psychosocial and Mental Health Care of the Renal Recipient DOI
Mary Amanda Dew, Larissa Myaskovsky, Jennifer L. Steel

et al.

Springer eBooks, Journal Year: 2018, Volume and Issue: unknown, P. 119 - 136

Published: Nov. 22, 2018

Language: Английский

Citations

5

Ethical Issues in Pediatric VCA DOI
Ana S. Iltis

Current Transplantation Reports, Journal Year: 2017, Volume and Issue: 4(4), P. 311 - 319

Published: Oct. 6, 2017

Language: Английский

Citations

4

Upper extremity and craniofacial vascularized composite allotransplantation: ethics and immunosuppression DOI
James L. Benedict, Gerard Magill

Emerging Topics in Life Sciences, Journal Year: 2019, Volume and Issue: 3(6), P. 681 - 686

Published: Nov. 14, 2019

Vascularized composite allotransplantation (VCA) is the name most often used to refer transplantation of anatomical units composed multiple tissue types (skin, bone, muscle, tendon, nerves, vessels, etc.) when such transplants do not have primary purpose extending life, as case in more familiar field solid organ (SOT). A serious interest VCA developed late twentieth century following advances immunosuppression which had led significant improvements short and medium-term survival among SOT recipients. Several ethical concerns been raised about VCA, with many being connected one way or another limitations, burdens, risks associated immunosuppression. This article will focus on upper extremity craniofacial beginning a brief review history including reported outcomes, followed by discussion range concerns, before exploring greater detail how immunological issues inform shape several concerns.

Language: Английский

Citations

4

Post-transplant Psychosocial and Mental Health Care of the Liver Recipient DOI

Andrea F. DiMartini,

Eric Golden,

Andrew Matz

et al.

Springer eBooks, Journal Year: 2018, Volume and Issue: unknown, P. 181 - 191

Published: Nov. 22, 2018

Language: Английский

Citations

3