ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Factors in a Successful Transfer of Pediatric Liver Transplant Recipients to Adult-Based Care.

J. Bilhartz, M. Lopez, J. Magee, V. Shieck, S. Eder, E. Fredericks.

University of Michigan, Ann Arbor.

Meeting: 2016 American Transplant Congress

Abstract number: D217

Keywords: Liver transplantation, Pediatric

Session Information

Date: Tuesday, June 14, 2016

Session Name: Poster Session D: Pediatric Liver Transplantation

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Halls C&D

Related Abstracts
  • Risk Factors for Graft Loss in Pediatric Renal Transplant Recipients After Transfer of Care
  • Preliminary Psychometric Properties of a Measure of the Allocation of Responsibility for Health Management Tasks in Pediatric Liver Transplant Recipients

Purpose: A structured shift in allocation of responsibility (AoR) for health-management tasks from parents to adolescents is an important component of the transfer to adult-based care. The purpose of this study was to assess the relationship between AoR pre-transfer and medication adherence post-transfer among pediatric liver transplant recipients.

Methods: Patients' self-reported responsibility for their care at the time of their last visit in the pediatric liver transplant clinic was assessed using a previously-described measure of AoR. Average scores were calculated for two components of AoR – communication skills and self-management skills – on a 3-point scale with higher numbers indicating increased patient responsibility. Data regarding adherence and outcomes for the year following transfer was collected from the medical record. Time of transfer was defined as the first visit in the adult clinic. Tacrolimus standard deviation (tacro SD) in the year post-transfer was used as a surrogate marker for medication adherence, with nonadherence defined as SD > 2. The study population was analyzed using descriptive statistics, and Spearman's rank correlation coefficients (rho) were used to assess the association between AoR and tacro SD.

Results: From June 2010 through December 2015, 26 patients completed the AoR measure and subsequently transferred to the adult liver transplant clinic, and 17 were > 1 year from transfer. The median age at the time of transplant was 9y and at the time of transfer was 21.4y. Median tacro SD among the 17 patients > 1 year post-transfer was 1.2. No patients had biopsy-proven rejection in the first year post-transfer. Median AoR for communications tasks was 2.9 and for self-management 3. There was not a statistically significant relationship in this sample between tacro SD and AoR for communication (rho=.291, p=.293) or self-management (rho=-.102, p=.717) tasks.

Conclusions: While there was not a significant relationship between pre-transfer AoR and post-transfer medication adherence, the median tacro SD and AoR values suggest an overall adherent patient population who perceived themselves to be primarily responsible for managing their care by the time of transfer. The high rates of adherence and positive health outcomes in this sample, together with the older age at transfer, emphasize the importance of an individualized transition process that is focused on communication and self-management rather than relying on age alone.

CITATION INFORMATION: Bilhartz J, Lopez M, Magee J, Shieck V, Eder S, Fredericks E. Factors in a Successful Transfer of Pediatric Liver Transplant Recipients to Adult-Based Care. Am J Transplant. 2016;16 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Bilhartz J, Lopez M, Magee J, Shieck V, Eder S, Fredericks E. Factors in a Successful Transfer of Pediatric Liver Transplant Recipients to Adult-Based Care. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/factors-in-a-successful-transfer-of-pediatric-liver-transplant-recipients-to-adult-based-care/. Accessed March 9, 2021.

« Back to 2016 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.