{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:52:25Z","timestamp":1788407545539,"version":"build-2803163510"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T00:00:00Z","timestamp":1741305600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["DK131965"],"award-info":[{"award-number":["DK131965"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"crossref","award":["DK133488 and HL171861"],"award-info":[{"award-number":["DK133488 and HL171861"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["DK131965"],"award-info":[{"award-number":["DK131965"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"crossref","award":["DK133488 and HL171861"],"award-info":[{"award-number":["DK133488 and HL171861"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Kidney360"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>\n                    CKD affects roughly 10% of the general population. Some adults with CKD were diagnosed with their condition during childhood. Because early CKD is often asymptomatic, obtaining reliable estimates of the true incidence of pediatric CKD (onset before age 18 years) is difficult due to the lack of routine screening for disease in children. With advancements in health care (\n                    <jats:italic toggle=\"yes\">e.g<\/jats:italic>\n                    ., antenatal imaging and genetic testing) and improved survival outcomes for premature infants and children with complex care needs, a growing number of children with CKD will eventually transfer their care to adult specialists. The purpose of this review is to provide a practical summary of the challenges in the transition and transfer of care process for patients with nondialysis requiring CKD, highlight differences in pediatric and adult care practices based on our experiences, and identify best practices. We will review both practitioner-related and patient-related challenges, as well as the unique health care needs of children with CKD during the transfer of care. We will also provide an overview of the transition and transfer of care for common causes of CKD in children that are less common in adults, such as congenital abnormalities of the kidney and urinary tract.\n                  <\/jats:p>","DOI":"10.34067\/kid.0000000762","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T12:00:51Z","timestamp":1741348851000},"page":"663-670","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Pediatric to Adult Nephrology Transition in CKD"],"prefix":"10.34067","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2533-4379","authenticated-orcid":false,"given":"Vivian","family":"Shi","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Medicine and Pediatrics, Stanford University, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5474-368X","authenticated-orcid":false,"given":"Alex","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary","family":"Copp","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7774-2526","authenticated-orcid":false,"given":"Elaine","family":"Ku","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine and Pediatrics, Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,7]]},"reference":[{"issue":"suppl 3","key":"B1-20250609","first-page":"1304","article-title":"A consensus statement on health care transitions for young adults with special health care needs","volume":"110","year":"2002","journal-title":"Pediatrics."},{"issue":"1","key":"B2-20250609","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1542\/peds.2011-0969","article-title":"Supporting the health care transition from adolescence to adulthood in the medical home","volume":"128","author":"Cooley","year":"2011","journal-title":"Pediatrics."},{"issue":"5","key":"B3-20250609","doi-asserted-by":"crossref","first-page":"e20182587","DOI":"10.1542\/peds.2018-2587","article-title":"Supporting the health care transition from adolescence to adulthood in the medical home","volume":"142","author":"White","year":"2018","journal-title":"Pediatrics."},{"issue":"7","key":"B4-20250609","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1038\/ki.2011.209","article-title":"Transition from pediatric to adult renal services: a consensus statement by the International Society of Nephrology (ISN) and the International Pediatric Nephrology Association (IPNA)","volume":"80","author":"Watson","year":"2011","journal-title":"Kidney Int."},{"issue":"4S","key":"B5-20250609","first-page":"S117","article-title":"KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease","volume":"105","year":"2024","journal-title":"Kidney Int."},{"issue":"2","key":"B6-20250609","doi-asserted-by":"crossref","first-page":"173","DOI":"10.2215\/CJN.0000000000000051","article-title":"Evaluating kidney function decline in children with chronic kidney disease using a multi-institutional electronic health record database","volume":"18","author":"Gluck","year":"2023","journal-title":"Clin J Am Soc Nephrol."},{"issue":"4","key":"B7-20250609","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1007\/s00467-023-06140-4","article-title":"Role of primary care in enhancing continuity of care for adolescents and young adults with chronic kidney disease undergoing transition to adult health services","volume":"39","author":"Punjwani","year":"2024","journal-title":"Pediatr Nephrol."},{"issue":"4","key":"B8-20250609","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1053\/j.ackd.2005.07.004","article-title":"Transition from pediatric to adult medical care","volume":"12","author":"LoCasale-Crouch","year":"2005","journal-title":"Adv Chronic Kidney Dis."},{"issue":"4","key":"B9-20250609","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1053\/j.ajkd.2022.09.017","article-title":"Improving clinical care for children with CKD: a report from a National Kidney Foundation Scientific Workshop","volume":"81","author":"Warady","year":"2023","journal-title":"Am J Kidney Dis."},{"key":"B13-20250609","doi-asserted-by":"crossref","first-page":"20543581231191836","DOI":"10.1177\/20543581231191836","article-title":"Transition from pediatric to adult nephrology care: program report of a single-center experience","volume":"10","author":"Cybulsky","year":"2023","journal-title":"Can J Kidney Health Dis."},{"issue":"6","key":"B14-20250609","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.pedhc.2021.06.002","article-title":"Finding MyVOICE: a mixed-methods examination of health outcomes of young adults with chronic illness transitioning from pediatric to adult health care","volume":"35","author":"Wright","year":"2021","journal-title":"J Pediatr Health Care."},{"issue":"4","key":"B15-20250609","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1007\/BF00866728","article-title":"The cognitive development of pre-school children treated for chronic renal 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disease","volume":"6","author":"Hooper","year":"2011","journal-title":"Clin J Am Soc Nephrol."},{"issue":"12","key":"B19-20250609","doi-asserted-by":"crossref","first-page":"2221","DOI":"10.1007\/s00467-019-04417-1","article-title":"The brain in pediatric chronic kidney disease\u2013the intersection of cognition, neuroimaging, and clinical biomarkers","volume":"35","author":"Harshman","year":"2020","journal-title":"Pediatr Nephrol."},{"issue":"2","key":"B20-20250609","doi-asserted-by":"crossref","first-page":"e349","DOI":"10.1542\/peds.2009-0085","article-title":"Health-related quality of life of children with mild to moderate chronic kidney disease","volume":"125","author":"Gerson","year":"2010","journal-title":"Pediatrics."},{"issue":"10","key":"B21-20250609","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.34067\/KID.0000000000000206","article-title":"The impact of pediatric CKD on educational and employment 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adulthood","volume":"49","author":"Gurvitz","year":"2007","journal-title":"J Am Coll Cardiol."},{"issue":"4","key":"B40-20250609","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.jadohealth.2009.01.001","article-title":"Fumbling the handoff: managing the transition to adult care for adolescents with chronic conditions","volume":"44","author":"Williams","year":"2009","journal-title":"J Adolesc Health."},{"issue":"8","key":"B41-20250609","doi-asserted-by":"crossref","first-page":"e0201098","DOI":"10.1371\/journal.pone.0201098","article-title":"Why is transition between child and adult services a dangerous time for young people with chronic kidney disease? A mixed-method systematic review","volume":"13","author":"Dallimore","year":"2018","journal-title":"PLoS One."}],"container-title":["Kidney360"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0000000762","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:58:59Z","timestamp":1786478339000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0000000762"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,7]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.34067\/kid.0000000762","relation":{},"ISSN":["2641-7650"],"issn-type":[{"value":"2641-7650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,7]]}}}