Transition from pediatric to adult renal services: a consensus statement by the International Society of Nephrology (ISN) and the International Pediatric Nephrology Association (IPNA)
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Alan R. Watson & Paul Harden & Maria Ferris & Peter G. Kerr & John Mahan & Maher Fouad Ramzy
- چاپ و سال / کشور: 2011
Description
The number of young patients graduating from paediatric to adult renal care has progressively increased due to improved management resulting in patient survival rates of 85–90% [1, 2]. Adult renal services are being exposed to an increasing number of adolescent and young adult patients who have either transitioned from paediatric care or presented directly to adult services. It is recognised that there are substantial risks of nonadherence at the time of transfer from pediatric to adult care and amongst the cohort of patients aged <25 managed in adult care [3, 4]. Recovery from acute kidney injury and increased detection of nephrourological problems on antenatal scanning means that there is also an increasing number of children with chronic kidney disease (CKD) stages 1–4 who are being followed by paediatric nephrologists [5, 6]. There is general agreement that patients with CKD 3–4 should be transferred to adult services, whereas those with CKD 1–2 could most typically be followed in primary care with clear instructions to refer to nephrologists if there is evidence of progressive kidney damage and/ or hypertension or proteinuria. Growth and development are the essential issues for all children. For children with a chronic condition such as CKD, a comprehensive, multiprofessional team of clinicians, nurses, dietitians, social workers, play therapists, psychologists and educators is the most effective way to minimise disabilities and maximise the potential of each child. Support for children and families from a more diverse multiprofessional team is one of the major differences between paediatric and adult care [7].
Pediatr Nephrol DOI 10.1007/s00467-011-1981-z Received: 26 May 2011 / Accepted: 2 June 2011
