Paediatric features in childhood renal transplantation: Quality of life, school, adherence, transfer to adult nephrologists


Dehennault M.

NEPHROLOGIE & THERAPEUTIQUE, vol.7, no.7, pp.599-603, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 7
  • Publication Date: 2011
  • Doi Number: 10.1016/j.nephro.2011.11.004
  • Journal Name: NEPHROLOGIE & THERAPEUTIQUE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.599-603
  • Keywords: Pediatric kidney transplantation, Quality of life, Treatment compliance, Transition to adult unit, IMMUNOSUPPRESSIVE REGIMEN, KIDNEY, DISEASE, NONADHERENCE, ADOLESCENTS, TRANSITION, CHILDREN, RECIPIENT, CARE
  • Dokuz Eylül University Affiliated: No

Abstract

The quality of life of children having undergone renal transplantion is slightly lower than in the general population, whereas it is rather better in transplanted adolescents. The parent's quality of life is often affected. School attendance is affected by the disease and school performances lower as an outcome, however the level of unemployment at adulthood remains similar to the general population. Treatment compliance is high in young children, but low in adolescents, resulting in frequent rejection episodes and reduced graft survival. Multidisciplinary patient management is essential, possibly in a patient's therapeutic education unit. Implementation of special measures is recommended to reduce the risks associated with the transition from pediatric to adult unit. (C) 2011 Association Societe de Nephrologie. Published by Elsevier Masson SAS. All rights reserved.