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Title of Journal: Pediatr Nephrol

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Abbravation: Pediatric Nephrology

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Springer-Verlag

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DOI

10.1016/0375-9601(67)90521-x

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1432-198X

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Utility and cost of a renal transplant transition

Authors: Chanel Prestidge Alexandra Romann Ognjenka Djurdjev Mina MatsudaAbedini
Publish Date: 2011/08/09
Volume: 27, Issue: 2, Pages: 295-302
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Abstract

Successful transition from paediatriccentred to adultoriented healthcare positively influences health outcomes for youth with chronic illness The primary objective is to evaluate outcomes pre and post provision of multidisciplinary transition clinic TC care to renal transplant recipients We compared patient and allograft survival in renal transplant recipients at British Columbia Children’s Hospital who received care within a transition clinic TC to a cohort of patients transferred prior to establishment of the TC preTC PTC in 2007 Baseline characteristics allograft function and survival data were collected prospectively via a validated provincial database for 2 years posttransfer We also estimated and compared the average yearly perpatient cost during the 2year followup period Thirtythree patients were transferred PTC and 12 transitioned TC In the PTC cohort there was a combined poor outcome death or allograft loss incidence of 24 within 2 years posttransfer compared with no death or allograft loss in the TC cohort Cost estimates indicate the average yearly perpatient cost was Canadian dollars CAD 17127–38909 for the PTC and CAD 11380–34312 for the TC cohort For PTC patients who lost their allograft and returned to dialysis the perpatient cost was CAD 40956–61470 Our results indicate improved allograft and patient survival posttransfer of care in renal transplant recipients who attended TCs and we found that providing TCs is economically feasible

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