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

The Role of Resilience in Healthcare Transitions among Adolescent and Young Adult Kidney Transplant Recipients

S. Quinn,1 H. Fernandez,2 T. McCorkle,1 F. Barg,3 K. Ginsburg, R. Rogers,1 S. Amaral.

1Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
2Medicine, Columbia University, New York, NY
3Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

Meeting: 2018 American Transplant Congress

Abstract number: B227

Keywords: Kidney transplantation, Pediatric

Session Information

Date: Sunday, June 3, 2018

Session Name: Poster Session B: Kidney: Pediatrics

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

 Presentation Time: 6:00pm-7:00pm

Location: Hall 4EF

Related Abstracts
  • Adherence Patterns in Adolescent and Young Adult Kidney Transplant Recipients.
  • Impact of Once-Daily Tacrolimus on Adherence in Stable Adolescent and Young Adult Renal Transplant Recipients

Adolescent and young adult (AYA) kidney transplant (KT) recipients experience high rates of premature allograft loss during healthcare transition (HCT). There is a critical need to identify protective factors associated with stable HCT. Resilience is a learned and dynamic process with known positive impact on health outcomes. This study aims to explore the novel role of resilience as a protective factor in securing stable HCT in AYA with KT.

Participants were AYA with KT transitioning from pediatric to adult nephrology care, and were stratified into stable or unstable HCT groups (unstable= loss-to-follow-up, missed >50% clinic visits in year post-transfer, or unexpected graft loss in year post-transfer). Semi-structured interviews using a reputable resilience model explored the role of key resilience constructs in HCT. Survey and chart review supplied demographic and clinical data.

32 participants enrolled (17 stable; 15 unstable). Key interview themes included: (1) both groups reported knowledge- and skill-based healthcare self-management competencies, (2) both groups endorsed strong connections with adult relatives, (3) the stable group reported more confidence in and more connection to healthcare providers as compared to the unstable group. Significantly more participants in the stable HCT group were white and more of the unstable group was black (p=0.003). A significantly higher percentage of stable participants' parents were college- or graduate school-educated (p=0.011). Adherence (measured by coefficient of variation of immunosuppressant levels) did not differ between groups.

This hypothesis-generating study suggests that in addition to the solid foundation of healthcare self-management competencies often cited as the indicator of HCT readiness, connection with adult relatives as well as interdependence and reliance on one's healthcare team are key constructs of resilience tightly linked to stable HCT among AYA with KT. Importantly, this study suggests that minority and under-resourced AYAs with KT were more likely to have unstable HCT. Further research must explore how to build stronger connections between providers and minority and under-resourced populations across the HCT continuum.

CITATION INFORMATION: Quinn S., Fernandez H., McCorkle T., Barg F., Ginsburg K., Rogers R., Amaral S. The Role of Resilience in Healthcare Transitions among Adolescent and Young Adult Kidney Transplant Recipients Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Quinn S, Fernandez H, McCorkle T, Barg F, Ginsburg K, Rogers R, Amaral S. The Role of Resilience in Healthcare Transitions among Adolescent and Young Adult Kidney Transplant Recipients [abstract]. https://atcmeetingabstracts.com/abstract/the-role-of-resilience-in-healthcare-transitions-among-adolescent-and-young-adult-kidney-transplant-recipients/. Accessed March 1, 2021.

« Back to 2018 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Enhanced Recovery after Surgery Protocols in Kidney Transplantation: Time to Change Practice?
  • Efficacy of Filgrastim in Solid Organ Transplant Recipients
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • #16789 (not found)
  • Home
  • Search
  • 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

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.