[A NEW TRANSITION PROGRAM FOR KIDNEY TRANSPLANTED YOUNG ADULTS FROM PEDIATRIC TO ADULT CARE SERVICES]

Transition from pediatric to adult care services is a complex process, carrying medical, psychosocial and emotional issues. It is known that, during this period, patients may drop-out from follow-up, lose their adherence and suffer from psychosocial complications. This period is prone to rejection of the transplanted kidney. Managing this process correctly, can empower the young adult and make him a better and more compliant patient. The study aimed to create a new model for the Transition Clinic and analyze its impact on the transition process of young transplanted patients.

A new model of the Transition Clinic, included a multidisciplinary team - nephrologist, transplant coordinator, psychologist and social worker who built a "custom made" transition process for each patient according to his needs. The process ended with a gathering including a group of patients awaiting transfer, the transition clinic staff and staff from the hospitals that will follow-up these patients. During the study period patients answered quality questionnaires.

A total of 32 patients have already participated in the new transition program. Participants reported that the process met their transition needs regarding informational, emotional and social issues. Most participants (59%) reported being "well-prepared", 29% reported being 'ready' and felt that the transition process helped them be more active and responsible for their medical care. The group gathering at the end of the process was a substantial component, allowing them to meet other transitioning young adults and soften the transition itself.

Our model of Transition Clinic may be proposed for improving the transition process and optimizing the continuity of care, adherence and compliance to the medical treatment of kidney transplanted patients.