Department of Pediatrics, Columbia University Irving Medical Center, New York, NY.
J Pediatr Gastroenterol Nutr. 2020 Dec;71(6):704-706. doi: 10.1097/MPG.0000000000002938.
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.
儿科肝移植（LT）的改进导致越来越多的患者进入成年期。从儿科模式转为成人模式的年轻成年 LT 受者的排斥反应、移植物丢失和医疗并发症发生率增加。医疗保健过渡计划的目标是优化健康状况并帮助青年充分发挥潜力。实现这一目标的手段需要一个有组织的过渡过程，以支持青年获得独立的医疗保健技能，为成人护理模式做准备，并在不中断治疗的情况下转至新的提供者。这只能通过多学科的过渡计划来实现。这通常是一项劳动和资源密集型的工作，可能无法得到当地机构的必要支持。广泛实施需要国家和国际各级管理组织的协助和认可。
