Implementing a Structured Transition from Pediatric to Adult Care Can Impact Clinical Outcomes in Young Adult Kidney Transplant Recipients
Year: 2023
Type: article
Study design: Observational Study
Abstract: Background: The transition period between pediatric and adult care is a challenging time marked with high risk and vulnerability, and is described as the period with the highest rate of graft loss in young adult kidney transplant recipients. Data are limited regarding HCT outcomes, but some studies suggest improvements in patient outcomes with a structured transition protocol. Methods: A retrospective chart review of patients who transitioned from Rady Children's Hospital San Diego (RCHSD) to UC San Diego (UCSD) transplant clinic from the years 2020-2023 is being performed to examine metrics such as change in creatinine and blood pressure during this period of transition. We will look at outcomes following the implementation of our transitions program which includes strutted transition-specific visits to assess and address individual areas of need before they transition. Results: Our initial study population consists of 24 patients, 50% female. The data show a weak positive correlation between days from last RCHSD clinic visit and first UCSD clinic visit and blood pressure elevation that is not statistically significant (rho=0.393, p=0.071). The data show a weak positive correlation with an increase in the number of days between last RCHSD clinic visit and first UCSD visit and increasing creatinine which is not statistically significant (rho=0.399, p=0.073). Conclusions: Further research will be conducted to determine if an established kidney transplant transitions program can decrease gaps in care and improve outcomes in young adult patients with a kidney transplant.
Institution: Rady Children's Hospital-San Diego
Language: English
Subfield: Speech and Hearing
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4397040333