Document Detail


Adaptive functioning and its correlates after intestine and liver transplantation.
MedLine Citation:
PMID:  23134290     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this cross-sectional study, we compared levels of adaptive functioning and examined potential correlates of adaptive functioning in 18 pediatric intestine (ITX) and 22 liver (LTX) recipients transplanted between June 2003 and March 2009. Family caregivers completed the ABAS-II scale and provided socio-demographic information regarding recipients' age at transplantation, gender, ethnicity, time since transplantation, and caregivers' role, ethnicity, education, and family income. Overall adaptive functioning and all three adaptive functioning subdomain scores were significantly lower in ITX patients compared with LTX patients (p ≤ 0.04) and compared with the general population normative mean (p ≤ 0.003). Significant correlates of adaptive functioning after abdominal transplant included type of transplant procedure (r = -0.4, p = 0.02), gender (r = 0.4, p = 0.01), and educational level of caregiver (r = 0.5, p = 0.003) and together explained 45% of the variance in overall adaptive functioning. Findings provide new information regarding everyday functioning outcomes of ITX patients, add to existing data regarding non-medical outcomes for LTX patients, and highlight the need for ongoing monitoring and intervention following transplantation to enhance outcomes.
Authors:
Diana A Shellmer; Annette DeVito Dabbs; Mary Amanda Dew; Lauren Terhorst; Robert B Noll; Beverly Kosmach-Park; George Mazariegos
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-11-08
Journal Detail:
Title:  Pediatric transplantation     Volume:  17     ISSN:  1399-3046     ISO Abbreviation:  Pediatr Transplant     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-23     Completed Date:  2013-08-05     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  9802574     Medline TA:  Pediatr Transplant     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  48-54     Citation Subset:  IM    
Copyright Information:
© 2012 John Wiley & Sons A/S.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living / psychology*
Adaptation, Psychological*
Adolescent
Child
Child, Preschool
Cross-Sectional Studies
Female
Humans
Infant
Intestine, Small / transplantation
Intestines / transplantation*
Liver / pathology
Liver Transplantation / adverse effects,  psychology*
Male
Models, Statistical
Quality of Life
Social Class
Time Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
K01 NR013189/NR/NINR NIH HHS; K01 NR013189-01/NR/NINR NIH HHS; R01 NR010711-02S2/NR/NINR NIH HHS
Comments/Corrections

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