title: Long-term follow up of paediatric liver transplant recipients: outcomes following transfer to adult healthcare in New Zealand.
abstract: Poor outcomes are reported in young people with chronic health conditions. We performed a retrospective notes review of New Zealand paediatric liver transplant recipients transferred to adult services. Two patients were lost to follow up. Out of 20, 12 were non-adherent, and out of 12, 7 developed rejection. Other risk behaviours were common in the non-adherent group. We conclude that dedicated services for these young people may be needed to optimise outcomes.
authors.affiliation: New Zealand Liver Transplant Unit (NZLTU), Auckland City Hospital, Auckland, New Zealand.
authors.forename: R
authors.initials: R
authors.lastname: Harry
authors.affiliation: Department of Paediatric Gastroenterology, Starship Hospital, Auckland, New Zealand.
authors.forename: C
authors.initials: C
authors.lastname: Fraser-Irwin
authors.affiliation: Department of Paediatric Gastroenterology, Starship Hospital, Auckland, New Zealand.
authors.forename: S
authors.initials: S
authors.lastname: Mouat
authors.affiliation: New Zealand Liver Transplant Unit (NZLTU), Auckland City Hospital, Auckland, New Zealand.
authors.forename: E
authors.initials: E
authors.lastname: Gane
authors.affiliation: New Zealand Liver Transplant Unit (NZLTU), Auckland City Hospital, Auckland, New Zealand.
authors.forename: S
authors.initials: S
authors.lastname: Munn
authors.affiliation: Department of Paediatric Gastroenterology, Starship Hospital, Auckland, New Zealand.
authors.forename: H M
authors.initials: HM
authors.lastname: Evans
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016031:Liver Transplantation; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D009520:New Zealand / Q000453:epidemiology; D010349:Patient Compliance; D010372:Pediatrics; D012189:Retrospective Studies; D012648:Self Care / Q000523:psychology*; D060305:Transition to Adult Care / Q000458:organization & administration*; D066027:Transplant Recipients / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult; D016903:Drug Monitoring
chemical_list: D007166:Immunosuppressive Agents
keywords: liver transplantation; paediatrics; patient non-adherence; transition to adult care