Most young adult transplant patients who are transferring to adult transplant care are many years post-transplant. With stable graft function, the focus of care in the adult setting will be health and graft maintenance as an adult, as opposed to growth and development monitoring in the pediatric setting. It is imperative that the YA establish care with an adult primary care provider (PCP) prior to transfer to an adult transplant center so that the PCP can provide overall management of the YA’s health care needs and referrals to specialty services. Both the pediatric and adult transplant teams should provide routine education and counselling to encourage the AYA to engage in an active healthy lifestyle to the best of their ability.
References:
- Berman H, Shimshak S, Reimer D, et al. Skin cancer in solid organ transplant recipients: A review for the nondermatologist. Mayo Clin Proc. 2022;97(12):2355-2368.
- Crow LD, Jambusaria-Pahlajani A, Chung CL, et al. Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines. Transpl Int. 2019;32(12):1268-1276.
- Lubriano R, Tancredi G, Bellelli E, et al. Influence of physical activity on cardiorespiratory fitness in children after renal transplantation. Nephol Dial Transplant. 2012;27:1677-1681.
- US Department of Health and Human Services. Physical activity guidelines for Americans. 2nd edition. Washington, DC: US Department of Health and Human Services; 2018.
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