Transition en transplantation rénale [Transition in kidney transplantation].

La transition en transplantation renale constitue une etape importante dans la vie d'un jeune adolescent greffe. Durant cette periode, les imperatifs de la greffe se heurtent aux changements physiologiques et psychologiques de l'adolescence, avec un risque augmente de non-observance therapeutique et donc de perte du greffon. Il n'existe pas encore un modele optimal de transition unanimement accepte, mais il a ete demontre que la mise en place d'une equipe multidisciplinaire de professionnels pediatres et adultes, ayant une formation dans la gestion des adolescents et jeunes adultes, est benefique. Cette equipe doit assurer une transition progressive des jeunes patients vers la clinique adulte selon un plan bien defini. Transition from pediatric to adult care in renal transplantation has emerged as a critical step in the life of a young kidney recipient. During this phase, young patients are faced with the physiological and psychological changes associated with adolescence that can lead to non-compliance and potentially graft loss. To date, there is not a unique accepted model of transition, however it has been proved that the presence of a multidisciplinary team including specialists in adolescent management and in the transition from pediatric to adult transplant care is beneficial during this at-risk phase. The goal of this team is to ensure a progressive transition of the patients according to a precise plan and time line.