ABSTRACT
Poor outcomes are reported in young people with chronic health conditions. We performed a retrospective notes review of New Zealand paediatric liver transplant recipients transferred to adult services. Two patients were lost to follow up. Out of 20, 12 were non-adherent, and out of 12, 7 developed rejection. Other risk behaviours were common in the non-adherent group. We conclude that dedicated services for these young people may be needed to optimise outcomes.
Subject(s)
Liver Transplantation , Medication Adherence/statistics & numerical data , Self Care/psychology , Transition to Adult Care/organization & administration , Transplant Recipients/statistics & numerical data , Adolescent , Child , Female , Follow-Up Studies , Humans , Immunosuppressive Agents/therapeutic use , Male , Medication Adherence/psychology , New Zealand/epidemiology , Patient Compliance , Pediatrics , Retrospective Studies , Transplant Recipients/psychology , Young AdultABSTRACT
Lymphoma is a recognized cause of liver damage and in rare instances presents as ALF. In such cases, the underlying malignancy is often difficult to detect. Historically, the prognosis has been poor. Cure has occasionally been achieved with chemotherapy alone. LT in this setting is controversial, but has contributed to successful outcomes, as in the case of the five-yr-old girl reported here.
