Long-term psychosocial outcomes of adults transplanted in childhood: A social work perspective

Pediatr Transplant. 2021 Feb;25(1):e13859. doi: 10.1111/petr.13859. Epub 2020 Oct 26.

Abstract

While much research exists regarding medical outcomes for pediatric end stage renal disease (ESRD) populations and for adults receiving dialysis or kidney transplant, the understanding of long-term psychosocial outcomes for individuals diagnosed with ESRD or transplanted in childhood remains limited. A literature review was undertaken by two social work researchers to identify relationship, education, employment, and quality of life (QOL) outcomes for this population utilizing PUBMED and PsycInfo databases. Inconsistencies in the MeSH terms and keywords used across the relevant articles were noted. The impact of transplantation in childhood is significant across multiple facets of social development including but not limited to peer/intimate relationships, education and employment and QOL, and overall well-being. When compared to healthy peers, those with ESRD were delayed in all areas of social development. While improvements in psychosocial outcomes have occurred alongside improved graft and patient survival, more focused longitudinal and qualitative inquiry is needed. Partnerships are needed across disciplines and across those caring for different age cohorts in pediatric, adult nephrology, and transplant practices.

Keywords: ESRD; adolescent; emerging adulthood; kidney transplant; quality of life; young adult.

Publication types

  • Review

MeSH terms

  • Adult
  • Child
  • Educational Status
  • Employment
  • Humans
  • Interpersonal Relations
  • Kidney Transplantation / psychology*
  • Quality of Life
  • Social Participation*
  • Transplant Recipients / psychology*