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J Heart Lung Transplant. 2017 Aug;36(8):823-829. doi: 10.1016/j.healun.2017.02.023. Epub 2017 Feb 28.

Transitioning from pediatric to adult care after thoracic transplantation.

Author information

1
Division of Pediatric Cardiology, Department of Pediatrics, Mayo Clinic, Rochester, Minnesota.
2
Labatt Family Heart Centre, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
3
Division of Cardiology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
4
Division of Respirology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
5
Division of Pediatric Cardiology, Department of Pediatrics, Mayo Clinic, Rochester, Minnesota; Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota. Electronic address: johnson.jonathan@mayo.edu.

Abstract

With improving outcomes after thoracic transplantation, more children are surviving to adulthood and requiring specialized adult care. A systematic and effective program is essential to transition these patients from a pediatric to adult health care setting. In this review, we discuss the concept of transition and the factors leading to an effective transfer to an adult care provider, including administrative support, patient/provider preparation, and the navigation of potential barriers. Notably, there is a paucity of data for many details of transition, making this a significant opportunity for future research.

KEYWORDS:

adherence; adolescence; heart transplantation; lung transplantation; rejection; thoracic transplantation; transition

PMID:
28342709
DOI:
10.1016/j.healun.2017.02.023
[Indexed for MEDLINE]

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