Essential components of transition to adult transplant services: The transplant coordinators' perspective

Context-Medical and surgical advancements have resulted in improved long-term survival of pediatric liver transplant recipients. As pediatric patients approach school age and adolescence, transplant centers are challenged to facilitate the process of transitioning from pediatric to adult centers.Objective-To describe pediatric and adult liver transplant coordinators' perspective regarding practice for transitioning patients to adult-oriented transplant centers.Design-DescriptiveSetting-Pediatric and adult liver transplant coordinators associated with Studies of Pediatric Liver Transplantation.Participants-A total of 35 pediatric liver transplant coordinators and 24 adult liver transplant coordinators completed the survey.Method-Investigator-developed survey to identify current practice for transition process and actual transfer of a patient from pediatric to adult care.Results-Transplant coordinators play an integral role in the transition process, and study results highlight what experienced coordinators believe are important considerations for a successful transition process. Results also highlight the importance of communication and partnership between the pediatric and adult programs.