Adolescents and Young Adults with Chronic or End-Stage Kidney Disease

Blood Purification
Maria E FerrisMeredith L Seamon

Abstract

Adolescents and young adults face unique and complex physical, psychological, and family challenges. Despite improvements in care for chronic kidney disease (CKD) and end-stage kidney disease (ESKD), long-term mortality for children, adolescents, and young adults with CKD remains substantially higher than their healthy counterparts. In this article, we discuss the complex challenges that adolescent and young adult CKD/ESKD patients face. Adolescents have different CKD etiologies and progress along a course dissimilar to the adult population, but have similar multifarious comorbidities. In the setting of puberty and learning to become self-sufficient, adolescence is a critical time for growth and psychosocial development. Physiological complications of CKD underlie many of the long-term outcomes. CKD-mineral and bone disorder and anemia are particularly challenging given that they are exacerbated by the rapid growth of adolescents. Endocrine imbalances and malnutrition can delay and limit growth. All of these factors, together with family dynamics and socioeconomic status, contribute to the poor long-term outcomes and decreased quality of life (QoL) for these patients and their families. Care for the adolescent CKD/ESKD populati...Continue Reading

Citations

Jun 15, 2017·Expert Review of Medical Devices·Fokko Pieter WieringaChris Van Hoof
Nov 24, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Evan TangIstvan Mucsi
Sep 14, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eileen D Brewer

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