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The transition from adolescence to adulthood is difficult under the best of circumstances. Young people with chronic diseases face particular challenges because they must adhere to medical therapy and keep medical appointments while they cope with peer pressure, hormonal surges, academic demands, and uncertainty regarding the future. This study demonstrates the profound challenges of adolescents with renal transplants. The 10-year risk of graft loss among recipients aged 14 to 16 years is the highest of any age cohort despite the robust protoplasm of this age group. We agree with the authors that transition programs that address the unique developmental needs of youth should be developed and tested.
Katz MH. Transplanting a Kidney Is the Easy Part. JAMA Intern Med. 2013;173(16):1532-1533. doi:10.1001/jamainternmed.2013.9452