Transitioning from pediatric to adult care after thoracic transplantation.
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.
Division of Pediatric Cardiology, Department of Pediatrics, Mayo Clinic, Rochester, Minnesota.
Adam
A
Putschoegl
Labatt Family Heart Centre, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Anne I
AI
Dipchand
Division of Cardiology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
Heather
H
Ross
Division of Respirology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Cecilia
C
Chaparro
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.
Jonathan N
JN
Johnson
D000328:Adult; D002648:Child; D006084:Graft Rejection / Q000517:prevention & control*; D016027:Heart Transplantation; D006801:Humans; D016040:Lung Transplantation; D060305:Transition to Adult Care / Q000458:organization & administration*; D000074822:Treatment Adherence and Compliance
adherence; adolescence; heart transplantation; lung transplantation; rejection; thoracic transplantation; transition