About this Research Topic
Chronic kidney diseases and urologic diseases affect all ages. The transition from childhood to adult care is a well-known problem in chronic diseases, in which the difficult phase of late adolescence may correspond to the shift from childhood to adult care. Data on kidney transplantation and on immunologic diseases highlight the importance of patient education and compliance in this phase. Hence, the importance of a swift transition of care to consolidate results and progressively empower young patients. The meaning of transition may however be broader: even if kidney and urologic diseases are more prevalent in adulthood, the roots of many of them are in early life or even in fetal life. This is the case, for example of nephroangiosclerosis, the most common kidney diseases of the adult, whose risk is increased after a complicated pregnancy (small for gestational age, pre-eclampsia and/or pre-term delivery), or in case of childhood obesity or early onset of diabetes.
The goal of the present Research Topic is to call for attention in the transition phase from childhood to adulthood and the need for specific educational investments targeted to increase knowledge and patient compliance in this transitory phase. One remarkable example is the education planning for girls with urologic or kidney diseases in order to make them aware of the need of specific follow-up in pregnancy later on in life, or while still in this delicate phase, the importance of health care interventions targeting obesity or eating disorders with a great reduction of risk of kidney disease in later years.
The importance of securing continuity of care is essential in reducing health inequalities, often secondary to social inequalities, which are one of the key players influencing the course of these chronic diseases. We highlight the need of improving the geometry of healthcare services in order to better fill these gaps and improve outcomes.
- organizational models of care
- educational programs
- transition in kidney transplantation
- transition in specific diseases needing regular treatments (glomerulonephritis and immunologic diseases, hereditary nephritis, congenital tubulopathies)
- transition in specific diseases needing regular follow-up (chronic pyelonephritis, reflux nephropathy, polycystic kidney, single kidney etc)
- transition in malformative uropathy with bladder dysfunction
- geometry of healthcare services
- ethical issues in adolescent care
- From childhood risk factors to prevention in adulthood.
Keywords: chronic kidney disease, chronic, kidney, disease, care
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