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Post-transplant adjustment--the later years.

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Fredericks, Emily M Zelikovsky, Nataliya Aujoulat, Isabelle [UCL] Hames, Anna Wray, Jo

As survival rates for pediatric solid organ transplantation have continued to improve, researchers and healthcare providers have increasingly focused on understanding and enhancing the HRQOL and psychosocial functioning of their patients. This manuscript reviews the psychosocial functioning of pediatric transplant recipients during the "later years," defined as more than three yr post-transplant, and focuses on the day-to-day impact of living with a transplant after the immediate period of adjustment and early years after surgery. Key topics reviewed include HRQOL, cognitive functioning, impact on the family, regimen adherence, and transition of responsibility for self-management tasks. Overall, pediatric transplant recipients evidence impairment in HRQOL, neuropsychological outcomes, and family functioning as compared to non-transplant recipients. However, the degree of impairment is influenced by a variety of factors including, disease severity, age, solid organ type, and study methodologies. Studies are limited by small samples, cross-sectional design, and the lack of universal assessment battery to allow for comparisons across solid organ populations. Areas for future research are discussed.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Pediatric Transplantation" - Vol. 18, no.7, p. 675-688 (2014)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing, Inc. (Malden)
issn 1397-3142
e-issn 1399-3046
Publication status Publié
Affiliation UCL - SSS/IRSS - Institut de recherche santé et société
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Bibliographic reference Fredericks, Emily M ; Zelikovsky, Nataliya ; Aujoulat, Isabelle ; Hames, Anna ; Wray, Jo. Post-transplant adjustment--the later years.. In: Pediatric Transplantation, Vol. 18, no.7, p. 675-688 (2014)
Permanent URL http://hdl.handle.net/2078.1/157779