Pediatric organ transplant patients and long-term care: a review.

We review the role of the academic generalist in the care of the child or adolescent who has undergone an organ transplant. This care is seen within the context of the "medical home" and the special considerations for pediatric patients. These special considerations include growth and development, psychosocial adjustment, cardiac and renal complications, endocrine problems, medication management and regimen adherence, infectious complications, vaccination, post-transplant malignancies, post-transplant lymphoproliferative disorders, acute post-transplant complications, recurrence, contraception and pregnancy for adolescents, and transition to adulthood. Research needs in this complex area are highlighted.