Successful outcome of the transitional process of inflammatory bowel disease from pediatric to adult age: A five years experience

Testa, Anna; Giannetti, Eleonora; Rispo, Antonio; Rea, Matilde; Miele, Erasmo; Scarpato, Elena; Opramolla, Anna; Nardone, Olga Maria; Imperatore, Nicola; Luna, Imma Di; Staiano, Annamaria; Castiglione, Fabiana

doi:10.1016/j.dld.2018.11.034

Cited by 13 publications

(10 citation statements)

References 17 publications

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“…Recently, the advantages of participating in a transitional programme have been shown by an observational retrospective study conducted by Testa et al [76]. They observed in a cohort of 106 paediatric onset IBD patients, the benefit of a transition programme after 12 months of follow-up.…”

Section: Why Do We Need a Transition Programme? Advantages Of Transitionmentioning

confidence: 99%

“…This result supports the importance of continuity of care in order to achieve a successful transition. [76] A retrospective Canadian study [77] Otto et al [78] in a retrospective study evaluated the impact of transitional care at one year in a group of patients transferred to the adult gastroenterologist following a transition clinic versus patients did not attend a transition clinic. Patients affected by CD transferred from the transition group had a significantly higher remission rate at 12 months than those not transferred, while the difference in remission rate was not statistically significant in UC patients.…”

Section: Why Do We Need a Transition Programme? Advantages Of Transitionmentioning

confidence: 99%

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Can a transition clinic bridge the gap between paediatric and adult inflammatory bowel disease care models?

Nardone

Iacucci

Ghosh

et al. 2020

Digestive and Liver Disease

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Section: Why Do We Need a Transition Programme? Advantages Of Transitionmentioning

confidence: 99%

Section: Why Do We Need a Transition Programme? Advantages Of Transitionmentioning

confidence: 99%

Can a transition clinic bridge the gap between paediatric and adult inflammatory bowel disease care models?

Nardone

Iacucci

Ghosh

et al. 2020

Digestive and Liver Disease

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“…This study did find significant preand postdifferences in ED utilization, as demonstrated by a RI of 2.12 (CI: 1.53-2.93) for CD and 2.34 (CI: 1.18-2.01) for UC (34) and found CD patients had a RI of 1.43 (1.26-1.63), UC patients with RI of 1.38 (CI: 1.13-1.68), as it related to laboratory utilization. Another 2 studies found significant differences in ED use (20% vs 12%) and hospitalizations (0.1 ± 0.3 vs 0.28 ± 0.44) compared with in pediatric care (30,33). Setya et al found females had a higher number of ED visits (18.7% vs 15.0%), opioid (63.5% vs. 56.7%), and benzodiazepine prescriptions (41.0% vs 37.4%) compared with males (30).…”

Section: Studies Measuring Outcomes Of Transitionmentioning

confidence: 99%

Outcomes in Patients with Inflammatory Bowel Disease Transitioning from Pediatric to Adult Care: A Scoping Review

Bihari

Olayinka

Kroeker

2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Purpose: Approximately 25% of inflammatory bowel disease (IBD) patients are diagnosed in childhood and the incidence is increasing. Thus, more patients will transition to adult care in the future. Within the literature, transition readiness has been deemed important to achieving a successful transition; however, it is unclear what outcomes define success. This scoping review aims to summarize the literature on outcomes surrounding transition from pediatric to adult care in patients with IBD. Methods: A scoping review was conducted with the following steps: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data, (5) collating, summarizing, and reporting results, and (6) consultation with an additional researcher. Studies were identified from 5 databases and were included in part if (1) IBD was a disease of interest, (2) referred to transition as the movement and adjustment from pediatric to adult care, and (3) evaluated patient outcomes up to 5 years after first adult appointment and/or defined a successful or unsuccessful transition. Results: Twenty-six peer-reviewed studies were included. Four studies defined transition success, while 2 studies defined an unsuccessful transition. Transition outcomes were categorized into these 6 themes: being comfortable in adult care (n = 4); health care utilization (n = 19); disease management (n = 15); knowledge (n = 5); quality of life (n = 6); self-efficacy (n = 7). Conclusions: Most studies evaluated transition outcomes by themes of health care utilization (n = 19) and disease management (n = 15). Future research should focus on engaging patients along with providers in order to create a consensus on indicators of transition success.

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“…Transition is the process of migrating a patient with chronic disease from pediatric to adult care ( 1 ). It is characterized by uninterrupted, coordinated, comprehensive care with attention to the clinical, psychosocial and educational/vocational needs of adolescent and young adult (AYA) patients ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…It is characterized by uninterrupted, coordinated, comprehensive care with attention to the clinical, psychosocial and educational/vocational needs of adolescent and young adult (AYA) patients ( 2 , 3 ). Failed transition and transfer is associated with increased emergency department visit, hospitalization, medication escalation, surgery and overall poor patient adherence and attitude ( 1 , 4–7 ).…”

Section: Introductionmentioning

confidence: 99%

Canadian Consensus Statements on the Transition of Adolescents and Young Adults with Inflammatory Bowel Disease from Pediatric to Adult Care: A Collaborative Initiative Between the Canadian IBD Transition Network and Crohn’s and Colitis Canada

Bollegala

Jacobson

et al. 2022

Journal of the Canadian Association of Gastroenterology

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Objectives With the increased prevalence of childhood-onset inflammatory bowel disease (IBD), there is a greater need for a planned transition process for adolescents and young adults (AYA). The Canadian IBD Transition Network and Crohn’s and Colitis Canada joined in collaborative efforts to describe a set of care consensus statements to provide a framework for transitioning AYA from pediatric to adult care. Methods Consensus statements were drafted after focus group meetings and literature reviews. An expert panel consisting of 20 IBD physicians, nurses, surgeon, adolescent medicine physician, as well as patient and caregiver representatives met, discussed and systematically voted. The consensus was reached when greater than 75% of members voted in agreement. When greater than 75% of members rated strong support, the statement was rendered a strong recommendation, suggesting that a clinician should implement the statement for all or most of their clinical practice. Results The Canadian expert panel generated 15 consensus statements (9 strong and 6 weak recommendations). Areas of focus of the statements included: transition program implementation, key stakeholders, areas of potential need and gaps in the research. Conclusions These consensus statements provide a framework for the transition process. The quality of evidence for these statements was generally low, highlighting the need for further controlled studies to investigate and better define effective strategies for transition in pediatric to adult IBD care.

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Successful outcome of the transitional process of inflammatory bowel disease from pediatric to adult age: A five years experience

Cited by 13 publications

References 17 publications

Can a transition clinic bridge the gap between paediatric and adult inflammatory bowel disease care models?

Can a transition clinic bridge the gap between paediatric and adult inflammatory bowel disease care models?

Outcomes in Patients with Inflammatory Bowel Disease Transitioning from Pediatric to Adult Care: A Scoping Review

Canadian Consensus Statements on the Transition of Adolescents and Young Adults with Inflammatory Bowel Disease from Pediatric to Adult Care: A Collaborative Initiative Between the Canadian IBD Transition Network and Crohn’s and Colitis Canada

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