ABSTRACT
PURPOSE: AYAs with KTs experience high rates of premature allograft loss during the HCT. There is a critical need to identify protective factors associated with stable HCT. Resilience-the ability to adapt and thrive in the setting of adversity-has known positive impact on health outcomes. This study explored the novel role of resilience constructs as protective factors in securing stable HCT among AYA with KT. METHODS: We conducted semi-structured interviews of adolescents and young adults who transitioned from a single pediatric transplant center to multiple adult nephrology centers between 2010 and 2017. Interviews explored the role of key resilience constructs in participants' lives around the time of HCT. Participants were stratified into stable or unstable HCT groups based on biological markers of allograft function and clinical data from chart review. Content analyses of interview transcripts were reviewed and compared among HCT groups. RESULTS: Thirty-two participants enrolled (17 stable; 15 unstable). Key resilience constructs more salient in the stable versus unstable HCT group were confidence in and connection to one's healthcare team. Reports of healthcare self-management competencies were similar across both HCT groups. CONCLUSIONS: Confidence in and connection to one's healthcare team appear to be linked with a stable HCT among AYA with KT. This suggests that interdependence, the ability to foster connections with and elicit support from healthcare providers, as opposed to complete independence or autonomy, which is often advised in the HCT process, is a critical component of resilience linked to stable HCT.
Subject(s)
Kidney Transplantation , Resilience, Psychological , Transition to Adult Care , Transplant Recipients , Adolescent , Adult , Allografts , Communication , Continuity of Patient Care , Female , Humans , Male , Nephrology/organization & administration , Outcome Assessment, Health Care , Physician-Patient Relations , Qualitative Research , Social Class , Young AdultABSTRACT
Multicystic kidney disease remains the commonest cause of abnormally enlarged kidney, diagnosed on antenatal ultrasound examination. It is typically a unilateral disorder; bilateral condition is incompatible with extra uterine life. Survival is associated with higher risk ofWilm's tumor and Renal cell carcinoma. Diagnosis is facilitated by ultrasonography. Respiratory compromise on account of mass effect may need repeated percutaneous cyst aspiration. Nephrectomy is the definitive treatment option.
