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Pediatric cholestatic liver disease: Successful transition of care

Praveen Kc Selvakumar1, Vera Hupertz1,2, Naveen Mittal3

  • 1Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH, USA.

Cleveland Clinic Journal of Medicine
|July 11, 2019
PubMed

Insights

Adult primary care providers face unique challenges caring for young adults with childhood-onset liver disease or pediatric liver transplants. Successful transition requires formal models and multidisciplinary teams for optimal patient outcomes.

Area of Science:

  • Hepatology
  • Pediatric Gastroenterology
  • Adult Primary Care

Background:

  • Increasing survival of pediatric liver disease patients into adulthood.
  • Growing population of adult patients with history of childhood-onset liver conditions.
  • Unique healthcare needs of young adults with pediatric liver disease and transplant recipients.

Purpose of the Study:

  • Highlight challenges in adult primary care for young adults with pediatric liver disease.
  • Emphasize the distinct needs of this patient cohort.
  • Advocate for structured transition models and multidisciplinary care.

Main Methods:

  • Review of current literature on pediatric liver disease transition.
  • Analysis of unique evaluation, monitoring, and treatment strategies.
  • Identification of common complications and comorbidities in this population.

Main Results:

  • Adult primary care providers require specialized knowledge for this cohort.
  • Pediatric liver disease survivors present complex management needs.
  • Existing transition protocols may be insufficient.

Conclusions:

  • A formal transitional model is critical for pediatric liver disease survivors.
  • Multidisciplinary teams are essential for effective adult care integration.
  • Improved transition strategies will enhance long-term health outcomes.

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