Transition from Pediatric to Adult Renal Care: Education, Preparation, and Collaboration for Successful Patient Outcomes

Abstract

The transition of patients from pediatric to adult renal care is a complex process that requires careful planning and thorough execution. While the topic is popular and yields much discussion, the recommendations for best practice methods are not well defined. It is clear, however, that the published literature recognizes the importance of a successful transition program leading up to the transfer of care for adolescent/young adult patients. In response to the need for a defined transition program, the dialysis and kidney transplant program at Children’s Mercy Hospital developed a transition program designed to meet the educational and developmental needs of this patient population. The program is enhanced by a city-wide collaborative group which consists of pediatric and adult renal care providers. This group meets annually to strategize ways to improve the transition program and transfer of care process in general. Ongoing evaluation will include seeking patients’ input with regard to the effectiveness of the program from their perspectives. The goal of the transition program and collaborative effort is to achieve positive outcomes for this patient population.