Pediatric liver transplant recipients are not just young adults: The importance of a structured health care transition program in adult transplant centers.

Autor:	Yang N; Division of Gastroenterology, Department of Medicine, Duke University Health System, Durham, North Carolina, USA., Vittorio J; Department of Pediatrics, NYU Langone Health, New York, New York, USA., King LY; Division of Gastroenterology, Department of Medicine, Duke University Health System, Durham, North Carolina, USA.
Jazyk:	angličtina
Zdroj:	Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society [Liver Transpl] 2024 Sep 01; Vol. 30 (9), pp. 945-959. Date of Electronic Publication: 2024 May 28.
DOI:	10.1097/LVT.0000000000000401
Abstrakt:	Health care transition (HCT) is a vulnerable period that continues into adulthood, even after the transfer of care. Given the growing population of pediatric liver transplant recipients reaching young adulthood, the need for a standardized and multidisciplinary approach to transition that spans from pediatric to adult care is becoming more imperative. In this article, we review the unique challenges and barriers to successful HCT that adolescent and young adults (AYAs) who have undergone liver transplant face, highlight the gap in transition care in the adult setting, and present the Six Core Elements of Health Care Transition TM as a framework that can be used by adult providers to incorporate AYAs systematically and collaboratively into adult practice. Multidisciplinary HCT programs should be the standard of care for all AYAs with liver transplant, and while implementation is a necessary first step, ongoing efforts to increase awareness, funding, and research on HCTs into adulthood are needed. (Copyright © 2024 American Association for the Study of Liver Diseases.)
Databáze:	MEDLINE
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