Related Experiment Video
Updated: Sep 19, 2025
07:28
Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
Published on: October 11, 2024
437
Child and adolescent heart and lung post-transplant adherence
Melissa K Cousino1, Jill Plevinsky2, Kristin Niel3
1Departments of Pediatrics and Cardiac Surgery, University of Michigan, Ann Arbor, MI.
JHLT Open
|June 16, 2025
Summary
Improving adherence to post-transplant care is vital for pediatric thoracic transplant recipients. This review highlights factors affecting adherence and actionable strategies to enhance outcomes and quality of life.
Area of Science:
- Pediatric Medicine
- Transplantation Surgery
- Health Psychology
Background:
- Adherence to post-transplant regimens is crucial for graft and patient survival in thoracic transplantation.
- Sub-optimal adherence is a significant issue in pediatric thoracic transplant recipients.
- Adherence challenges contribute to increased mortality rates in adolescent and young adult transplant survivors.
Purpose of the Study:
- To provide an up-to-date overview of the pediatric thoracic transplant adherence literature.
- To identify multi-directional factors influencing self-management and treatment adherence.
- To highlight actionable clinical, research, and policy efforts to improve adherence.
Main Methods:
- Expert-derived review of existing literature on pediatric thoracic transplant adherence.
- Analysis of individual, family, community, system, and societal level factors.
- Synthesis of current evidence on interventions and strategies.
Main Results:
- Adherence is influenced by a complex interplay of multiple factors.
- Specific challenges exist for adolescent and young adult populations.
- Actionable strategies are needed across various levels to improve adherence.
Conclusions:
- Enhancing treatment adherence is critical for improving graft survival and quality of life in pediatric thoracic transplant recipients.
- Targeted interventions addressing multi-level factors are necessary.
- Further research and policy development are essential to support adherence.
Related Concept Videos
01:16Kidney Transplant III: Nursing Management
88
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
88
01:28Kidney Transplant I: Introduction
65
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
65
01:26Kidney Transplant II: Surgical Procedure
78
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
78
01:24Tissue Transplantation
530
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
530
01:29Cardiomyopathy V: Interprofessional Care
41
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
41