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NDT Advance Access originally published online on January 8, 2007
Nephrology Dialysis Transplantation 2007 22(4):988-991; doi:10.1093/ndt/gfl770
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Adolescents with renal disease in an adult world: meeting the challenge of transition of care

Lorraine Bell

Division of Nephrology, Department of Paediatrics, McGill University, Montreal, Quebec, Canada

Correspondence and offprint requests to: Lorraine Bell, MD, FRCPC, Division of Nephrology, Department of Paediatrics, McGill University Health Centre, Montreal Children's Hospital, 2300 Tupper St, Montreal, Quebec, Canada H3H 1P3. Email: lorraine.bell@muhc.mcgill.ca

Keywords: adolescence; dialysis; paediatric kidney disease; transition; transplanation

The first 150 words of the full text of this article appear below.

A 20-year-old transplant recipient attends clinic erratically after graduating to adult care. A year after transfer she presents to emergency, weak and vomiting. Her creatinine is 900 µmol/l and she's 4 months pregnant. She admits to stopping all her immunosuppressants because ‘they’re toxic to my baby’. She loses not only her kidney but also the pregnancy.

A 19-year-old transplant recipient, on the honour roll at university and a medal winner at the transplant games, participates in a mentoring program and peer support group for teenagers with renal failure. A year earlier, when he had transitioned to adult care, he was fully responsible for his medical follow-up, knowledgeable about his disease, and communicated with his nurses and physicians with clarity, confidence and a sense of humour.

An 18-year-old college student on haemodialysis is transferred to an adult unit. He fails to appear for treatment. Phone calls home go unanswered. Ten days . . . [Full Text of this Article]



   The adolescent experience
 


   The parents’ perspective
 


   The view from paediatric nephrology
 


   Adult perspective
 


   Growing up and moving on: meeting the challenge
 

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