title: Quality of life after organ transplantation in children.
abstract: OBJECTIVE
  This review focuses on the tools used to assess health-related quality of life (HRQoL), its risk factors, and the impact of chronic disease and organ transplantation on HRQoL in children.
  
  
  RESULTS
  Transplantation improves the quality of life and improved psychological functioning, but there can be persisting problems with psychiatric symptoms in children with chronic organ disease. Evaluation of HRQoL should target both patients and their parents, and include tools that are specific to children such that targeted interventions can be instituted to improve psychosocial adjustment and physical functioning following solid-organ transplantation.
  
  
  CONCLUSIONS
  HRQoL is an important consideration in the care of children and adolescents needing organ transplantation, as this age group is very vulnerable to nonadherence to posttransplant medical regimens which trigger acute and chronic allograft rejection and other medical complications.
authors.affiliation: aCalifornia Pacific Medical Center, San Francisco, California, USA bAll India Institutes of Medicine, New Delhi, India.
authors.forename: Minnie M
authors.initials: MM
authors.lastname: Sarwal
authors.forename: Arvind
authors.initials: A
authors.lastname: Bagga
mesh_terms: D000223:Adaptation, Psychological; D002648:Child; D006801:Humans; D001523:Mental Disorders; D016377:Organ Transplantation; D011788:Quality of Life; D012307:Risk Factors; D016896:Treatment Outcome