New York University (NYU) Transplant Institute, NYU Langone Health, New York, New York, USA.
Department of Transplant Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Pediatr Transplant. 2024 Aug;28(5):e14826. doi: 10.1111/petr.14826.
An increasing number of pediatric solid organ transplant (SOT) recipients are surviving into adolescence and young adulthood. The transition from pediatric to adult-oriented care occurs during a unique and vulnerable period.
Presented here is a structured approach to healthcare transition (HCT) for adolescent and young adult SOT recipients aimed at optimizing independence in order to assist young patients with adherence, self-management, and improved quality of life.
Close attention must be paid to neurocognitive development, mental well-being, and social determinants of health.
These efforts require a multidisciplinary team approach as well as collaboration between pediatric and adult providers in order to achieve these goals and patient longevity.
越来越多的儿科实体器官移植(SOT)受者存活到青少年和青年期。从儿科到成人导向的护理的过渡发生在一个独特而脆弱的时期。
本文介绍了一种针对青少年和青年 SOT 受者的医疗保健过渡(HCT)的结构化方法,旨在通过优化独立性来帮助年轻患者坚持、自我管理和提高生活质量。
必须密切关注神经认知发展、心理健康和健康的社会决定因素。
这些努力需要多学科团队方法以及儿科和成人提供者之间的合作,以实现这些目标和患者的长期生存。