{
  "abstract": "The process of transition from paediatrics to adult hepatological care represents a key milestone for young adults (YA) with liver disease. During adolescence, huge developmental, psychosocial and physical changes occur. YA navigate milestones including evolving from school to career-orientated aspirations, and from parental oversight and dependence to greater personal independence. All these additional life pressures may coincide with the transition from paediatric to adult healthcare systems. As the number of paediatric patients transitioning to adult care systems is increasing, there is an increased requirement for adult physicians to be aware of the clinical management, complications, prognosis and psychosocial burden of paediatric onset liver diseases. Specific factors which require recognition and addressing when reviewing YA in clinic include medication adherence and side effects, psychosocial and mental health management, risk-taking behaviour and contraception and reproductive health. Many of these factors can be covered by routinely using the HEADSS (H - Home, E - Education, A - Activity, D - Drugs, S - Sexuality, S - Suicide/depression) tool in clinic. Key elements to a successful transition include flexible timing of the transition, a named transition coordinator to oversee the process, assessing readiness for transfer, individualising the transition model and disease-specific education programmes. A successful transition should endeavour to create independent YA, with the confidence to balance their chronic condition and lead independent lives, by making their own, informed decisions regarding future management.",
  "authors": [
    {
      "affiliations": [
        "Institute of Liver Studies, King’s College Hospital NHS Foundation Trust, London, UK"
      ],
      "name": "Samantha Mary-Anne Campbell"
    },
    {
      "affiliations": [
        "Hepatology, King’s College Hospital Institute of Liver Studies, London, UK"
      ],
      "name": "Deepak Joshi"
    }
  ],
  "title": "What the adult hepatologist/gastroenterologist needs to know about the transitioned paediatric hepatology patient",
  "uid": "9f5a8690-ac0f-5ece-84f6-659fa8805cb2"
}