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Nonadherence and the transition to adulthood
Author(s) -
Fredericks Emily M.
Publication year - 2009
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.21892
Subject(s) - medicine , psychological intervention , adult care , affect (linguistics) , intensive care medicine , young adult , health care , long term care , medline , regimen , pediatrics , family medicine , gerontology , nursing , linguistics , philosophy , political science , law , economics , economic growth
Key Points 1. Rates of nonadherence among pediatric transplant recipients are as high as 50% to 65%, and this places adolescent transplant recipients at increased risk. 2. Adherence to immunosuppressant medications is a critical factor in the transition process as poor medication adherence is associated with an increased risk of poor long‐term health outcomes. 3. Before transferring to adult‐centered care, the pediatric transplant recipient should demonstrate adequate regimen knowledge and self‐management skills. 4. Future research is needed to identify factors and interventions that affect long‐term health outcomes in pediatric transplant recipients, including factors related to nonadherence and the successful transfer from pediatric care to adult‐centered care. Liver Transpl 15:S63–S69, 2009. © 2009 AASLD.