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Published on: September 22, 2023
Waiting for transplant: physical, psychosocial, and nutritional status considerations for pediatric candidates and
Samantha J Anthony1, Rachel A Annunziato, Elise Fairey
1Transplant and Regenerative Medicine Centre, The Hospital for Sick Children, Toronto, ON, Canada.
Insights
The organ transplant waiting period is highly stressful for pediatric patients and families. This review examines the physical, nutritional, and psychosocial effects, offering clinical recommendations for improved support during this critical time.
Area of Science:
- Pediatric medicine
- Transplant surgery
- Psychosocial health
Background:
- The organ transplant waiting period presents significant uncertainty and stress for pediatric candidates and their families.
- This critical phase is recognized as the most challenging part of the transplant journey.
- Existing literature inadequately addresses the multifaceted impacts of the waiting period.
Purpose of the Study:
- To review the physical, nutritional, and psychosocial implications of the organ transplant waiting period for pediatric patients.
- To examine the effects of this waiting period on parents and siblings.
- To identify research gaps and propose clinical practice recommendations.
Main Methods:
- Literature review focusing on pediatric organ transplant candidates.
- Analysis of physical, nutritional, and psychosocial impacts.
- Synthesis of findings to inform future research and clinical practice.
Main Results:
- The waiting period imposes substantial physical, psychological, and social burdens on pediatric transplant candidates.
- Families, including parents and siblings, experience significant stress and challenges.
- There is a notable lack of comprehensive research on this topic.
Conclusions:
- The organ transplant waiting period requires greater clinical and research attention.
- Interventions are needed to support the holistic well-being of pediatric patients and their families.
- Further research should explore targeted support strategies for this vulnerable population.
Abstract:
The waiting period for an organ transplant has been described as a time of tremendous uncertainty and vulnerability, posing unique challenges and stressors for pediatric transplant candidates and their families. It has been identified as the most stressful stage of the transplant journey, yet little attention has been given to the physical, psychological, or social impact of the waiting period in the literature. In this review, we discuss the physical, nutritional, and psychosocial implications of the waiting period for child and adolescent transplant candidates and the impact on their parents and siblings. We identify areas for future research and provide recommendations for clinical practice to support children, adolescents, and families during the waiting period.
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