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Adherence and the pediatric transplant patient.
1Department of Pediatrics, MedStar Georgetown Transplant Institute, 3800 Reservoir Road, NW, PHC#2, Washington, DC 20007.
Seminars in Pediatric Surgery
|October 2, 2017
Summary
Pediatric transplant adherence is a critical issue affecting outcomes. Addressing adherence early and continuously throughout the transplant journey is essential for long-term success and improved quality of life.
Area of Science:
- Pediatric Transplantation
- Medical Adherence Research
Background:
- Adherence remains a significant challenge in pediatric solid-organ transplantation.
- Poor adherence negatively impacts patient outcomes and graft survival.
Purpose of the Study:
- To review the incidence, measurement tools, consequences, determinants, and interventions for adherence in pediatric solid-organ transplantation.
- To emphasize the need for early and continuous adherence support.
Main Methods:
- Comprehensive literature review of adherence in pediatric solid-organ transplantation.
- Analysis of studies published between 2007 and 2017.
Main Results:
- Adherence issues are prevalent across all pediatric age groups, not just adolescents.
- Adherence is a dynamic state requiring ongoing assessment and intervention.
- Adherence shares determinants with quality of life.
Conclusions:
- Fostering adherence must begin pre-transplantation and continue throughout the patient's journey.
- Prioritizing adherence is crucial for achieving tolerance, cost-efficiency, and optimal long-term outcomes in pediatric transplantation.
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