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Transition to Adult Care: Adolescents Care

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Textbook of Liver Transplantation

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Abstract

The transition process from pediatric to adult transplant units is still characterized by an overall lack of consistency in the healthcare and support services provided to young people with pediatric liver disease who have undergone liver transplantation (LT). Data on the long-term survival of liver transplant adolescents (LTAs) continue to improve, but evidence shows that after transition, it is hampered by a decreased adherence to medical therapy with a consequent significant higher risk of rejection and potential graft loss. The risk factors related to nonadherence in adolescence are multiple and include issues intrinsic to the “physiological” adolescence itself, psychological distress, alcohol or drug abuse, integrity of the family, and impact of immunosuppressive drugs side effects on physical appearance, which need all careful attention by adulthood providers. Here we provide some useful available recent information to pediatric/adult hepatologists and practitioners who are responsible for ensuring LTAs’ continuity of care.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Santobono-Pausilipon Children’s Hospital, Naples, Italy

    Claudia Mandato

  2. Department of Medicine and Surgery and Dentistry, “Scuola Medica Salernitana,” Pediatrics Section, University of Salerno, Baronissi (Salerno), Italy

    Salvatore Guercio Nuzio & Pietro Vajro

Authors
  1. Claudia Mandato
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  2. Salvatore Guercio Nuzio
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  3. Pietro Vajro
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Corresponding author

Correspondence to Pietro Vajro .

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Editors and Affiliations

  1. Department of Surgery, Oncology, and Gastroenterology Mutltivisceral Transplant Unit, University of Padua, Padua, Italy

    Patrizia Burra

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Mandato, C., Guercio Nuzio, S., Vajro, P. (2022). Transition to Adult Care: Adolescents Care. In: Burra, P. (eds) Textbook of Liver Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-030-82930-8_34

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  • DOI: https://doi.org/10.1007/978-3-030-82930-8_34

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  • Online ISBN: 978-3-030-82930-8

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