Presented here is a structured approach to healthcare transition for adolescent and young adult SOT recipients aimed at optimizing independence in order to assist young patients with adherence, self-management, and improved quality of life. These efforts require a multidisciplinary team approach as well as collaboration between pediatric and adult providers.
Oral mucositis (OM) severity and its impact on changes in body weight are not extensively studied in pediatric patients who have received hematopoietic stem cell transplantation. Busulfan conditioning and methotrexate plus cyclosporin for graft-versus-host disease prophylaxis are the main contributors to OM in patients with nonmalignant and malignant conditions, respectively.
The pFAT form highlights factors most frequently leading to “non-listing” for dialysis and transplantation. This tool enables early identification of potentially remediable barriers to transplantation, permitting targeted interventions to improve a child’s chance of being listed.
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