Bridging the Gap: A Review of Pediatric to Adult Transition of Care in Liver Transplantation DOI Creative Commons
Beverly Kosmach‐Park,

Bethany Coyne,

Nitika Gupta

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 29(1)

Published: Dec. 6, 2024

ABSTRACT Background With improvements in long‐term graft function and survival, an increasing population of pediatric liver transplant (LT) recipients now require adult care. A process to successfully transition young adults LT centers is supported the literature with discussions on rationale for health care (HCT), barriers transition, stakeholder perspectives, transfer readiness (TR). Results outcomes studies are difficult generalize there remains no standard HCT LT. Of concern that youth's independence occurs during a period developmental vulnerability, threat due risk‐taking behaviors, specifically nonadherence, may lead rejection, loss, death. Objectives/Method The purpose this comprehensive review discuss current knowledge, practices, additional support from solid organ (SOT) pediatric‐onset chronic conditions literature. Recent position statements SOT express greater awareness importance broad agreement reflects similarity approach endorsing as essential should be initiated early adolescence TR primary determinant transfer; however, standardization consistent measurement lacking. supports esential component initated programs address knowlege, skill‐development, advocacy. engagement all stakeholders program development. Conclusions There among multidisciplinary team role provider extending transitional into setting executive functioning skills mature. Outcome measures need clearly defined standardized. Regulatory agency involvement validate TOC crucial promote research best practice standardization.

Language: Английский

Nursing Health Education on Self-Health Management of Patients with Chronic Kidney Disease DOI

智澎 梁

Advances in Clinical Medicine, Journal Year: 2025, Volume and Issue: 15(04), P. 284 - 292

Published: Jan. 1, 2025

Language: Английский

Citations

0
Life experiences after kidney transplantation in adolescents: A qualitative meta-synthesis DOI Creative Commons
W Zhang, Jiaqi Wang, Ziyu Sun

et al.

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(4), P. e0321588 - e0321588

Published: April 9, 2025

Purpose To systematically evaluate the life experience of adolescents after kidney transplantation. Methods We use computer search Web Science, PubMed, Cochrane Library, Embase, EBSCO, CNKI, Wanfang, VIP database, database to October 2024, screening transplant qualitative study. used Australian Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research quality evaluation, and using thematic analysis method integrate results. Results 7 articles were included, 31 research results integrated into 8 new categories combined are 3 integration results: complex emotional experience; eager multifaceted support; self-adjustment. Conclusion Nursing staff should pay attention psychological needs adolescents, eliminate their stigma, promote positive cognition, improve life.

Language: Английский

Citations

0
Exploring the ability of ChatGPT to create quality patient education resources about kidney transplant DOI Creative Commons

Jacqueline Tian Tran,

Ashley Burghall,

Tom Blydt‐Hansen

et al.

Patient Education and Counseling, Journal Year: 2024, Volume and Issue: 129, P. 108400 - 108400

Published: Aug. 12, 2024

Chat Generative Pre-trained Transformer (ChatGPT) is a language model that may have the potential to revolutionize health care. The study purpose was test whether ChatGPT could be used create educational brochures about kidney transplant tailored for three target audiences: caregivers, teens and children.

Language: Английский

Citations

3
Sexual and reproductive health screening and counseling in adolescent and young adult transplant recipients DOI Creative Commons
Paula Cody

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 28(3)

Published: April 2, 2024

Abstract Adolescents and young adults with without chronic illnesses partake in risk‐taking behavior. Clinicians transplant clinics should be aware of the prevalence behavior their adolescent adult solid organ patients order to provide complete care. Creating an environment where teens feel comfortable discussing risky is important includes creating a privacy policy increasing comfort healthcare provider asking sensitive questions. This review intended help providers clinic screen for counsel about behaviors patients, specifically around sexual reproductive health.

Language: Английский

Citations

1
Global prevalence and potential factors influencing willingness for renal transplantation in end-stage renal disease patients: A systematic review and meta- analysis. DOI
Fredo Tamara, Jonny Karunia Fajar,

Agung Susanto

et al.

PubMed, Journal Year: 2024, Volume and Issue: 4(3), P. e964 - e964

Published: Dec. 1, 2024

The prevalence of willingness to undergo renal transplantation and its potentially associated factors have been documented in multiple prior studies across different regions, yet certain findings are conflicting. aim this study was determine the global for identify through meta-analysis methods. Databases such as Scopus, PubMed, Embase were utilized search strategy, covering period from April May 2024. Data collection focused on gathering information regarding potential contributing transplantation. Statistical analysis involved examining cumulative using single-arm meta- analysis. Factors with analyzed Mantel-Haenszel test categorical variables inverse variance method numerical variables. A total nine articles, 3935 patients end-stage disease (ESRD) included. pooled estimates revealed that overall among ESRD 57% (95%CI: 0.46-0.67). Furthermore, we observed a higher likelihood men those younger age, attainment at least bachelor's degree or education, employment status, income levels, shorter duration hemodialysis (<5 years). Our has transplantation, providing valuable insights policymakers aiming enhance acceptance

Language: Английский

Citations

0
Pregnancy after transplant in the older adolescent: Anticipatory guidance for the pediatric provider DOI
Lisa A. Coscia,

Dorothy Kliniewski,

S Constantinescu

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 28(4)

Published: April 29, 2024

Abstract Background Healthcare providers who care for adolescent and young adult transplant recipients should be aware of contraception counseling potential pregnancy in this at‐risk cohort. Methods This paper will review contraceptive options general recipients. There also a common immunosuppressive medications their risk profile regarding after transplantation. Data from the Transplant Pregnancy Registry International were analyzed looking at conceiving under age 21 compared to overall outcomes. Results Overall outcomes are like Conclusion It is imperative provide inform caregiver that can happen if recipient sexually active. Pregnant followed by multidisciplinary team assure positive outcome recipient, transplant, neonate.

Language: Английский

Citations

0
Kidney Care in Infancy, Childhood, and Early Adulthood DOI

Diane M. Blyton,

Shelley Jepson

Published: June 28, 2024

This chapter aims to address the unique needs of infants, children, and young adults who have kidney damage. The common causes chronic disease (CKD) in children are different from those experienced later life. develops an appreciation psychosocial impact CKD renal replacement therapies on their families. It identifies key differences management CKD, dialysis, transplantation, acute failure children. Growth problems with disorders been associated deranged secretion growth hormone resistance, particularly during periods metabolic acidosis. highlights that providing treatment for has challenges adult population. also important issues around transition, transfer people services.

Language: Английский

Citations

0
Bridging the Gap: A Review of Pediatric to Adult Transition of Care in Liver Transplantation DOI Creative Commons
Beverly Kosmach‐Park,

Bethany Coyne,

Nitika Gupta

et al.

Pediatric Transplantation, Journal Year: 2024, Volume and Issue: 29(1)

Published: Dec. 6, 2024

ABSTRACT Background With improvements in long‐term graft function and survival, an increasing population of pediatric liver transplant (LT) recipients now require adult care. A process to successfully transition young adults LT centers is supported the literature with discussions on rationale for health care (HCT), barriers transition, stakeholder perspectives, transfer readiness (TR). Results outcomes studies are difficult generalize there remains no standard HCT LT. Of concern that youth's independence occurs during a period developmental vulnerability, threat due risk‐taking behaviors, specifically nonadherence, may lead rejection, loss, death. Objectives/Method The purpose this comprehensive review discuss current knowledge, practices, additional support from solid organ (SOT) pediatric‐onset chronic conditions literature. Recent position statements SOT express greater awareness importance broad agreement reflects similarity approach endorsing as essential should be initiated early adolescence TR primary determinant transfer; however, standardization consistent measurement lacking. supports esential component initated programs address knowlege, skill‐development, advocacy. engagement all stakeholders program development. Conclusions There among multidisciplinary team role provider extending transitional into setting executive functioning skills mature. Outcome measures need clearly defined standardized. Regulatory agency involvement validate TOC crucial promote research best practice standardization.

Language: Английский

Citations

0