Transition Medicine: A Review of Current Theory and Practice

Mennito, Sarah; Clark, Jennifer K.

doi:10.1097/smj.0b013e3181d32356

Cited by 27 publications

(25 citation statements)

References 17 publications

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“…22,35 The results from the present study suggest that highlighting the impact of stool continence and education in the pediatric clinic may be a high-yield transitional education topic, and is worthy of further study.…”

Section: Discussionmentioning

confidence: 68%

Predictors of permanent disability among adults with spinal dysraphism

Davis¹,

Hopson

Blount³

et al. 2017

Journal of Neurosurgery: Spine

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OBJECTIVEPredictors of permanent disability among individuals with spinal dysraphism are not well established. In this study, the authors examined potential risk factors for self-reported permanent disability among adults with spinal dysraphism.METHODSA total of 188 consecutive individuals undergoing follow-up in an adult spinal dysraphism clinic completed a standardized National Spina Bifida Patient Registry survey. Chi-square tests and logistic regression were used to assess bivariate relationships, while multivariate logistic regression was used to identify factors independently associated with self-identification as “permanently disabled.”RESULTSA total of 106 (56.4%) adults with spina bifida identified themselves as permanently disabled. On multivariate analysis, relative to completion of primary and/or secondary school, completion of technical school (OR 0.01, 95% CI 0–0.40; p = 0.021), some college (OR 0.22, 95% CI 0.08–0.53; p < 0.001), college degree (OR 0.06, 95% CI 0.003–0.66; p = 0.019), and holding an advanced degree (OR 0.12, 95% CI 0.03–0.45; p = 0.002) were negatively associated with permanent disability. Relative to open myelomeningocele, diagnosis of closed spinal dysraphism was also negatively associated with permanent disability (OR 0.20, 95% CI 0.04–0.90; p = 0.036). Additionally, relative to no stool incontinence, stool incontinence occurring at least daily (OR 6.41, 95% CI 1.56–32.90; p = 0.009) or more than weekly (OR 3.43, 95% CI 1.10–11.89; p = 0.033) were both positively associated with permanent disability. There was a suggestion of a dose-response relationship with respect to the influence of educational achievement and frequency of stool incontinence on the likelihood of permanent disability.CONCLUSIONSThe authors’ findings suggest that level of education and degree of stool incontinence are the strongest predictors of permanent disability among adults with spinal dysraphism. These findings will be the basis of efforts to improve community engagement and to improve readiness for transition to adult care in a multidisciplinary pediatric spina bifida clinic.

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Section: Discussionmentioning

confidence: 68%

Predictors of permanent disability among adults with spinal dysraphism

Davis¹,

Hopson

Blount³

et al. 2017

Journal of Neurosurgery: Spine

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“…Search terms including "care transitions (and) addiction" and "care transitions (and) substance use (and) primary care" yielded no conceptual models of care transitions from AT to primary care. The authors did, however, identify a large literature 18,19 on healthcare transitions more generally on which the present model was based.…”

Section: Literature Reviewmentioning

confidence: 94%

Enhancing Transitions from Addiction Treatment to Primary Care

Cucciare

Coleman

Saitz

et al. 2014

Journal of Addictive Diseases

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Despite long-standing recommendations that patients with substance use disorders receive primary care, only one-half of patients with substance use disorders receive such care. This article presents a conceptual model to facilitate the transition of patients from addiction treatment to primary care. A narrative review of the healthcare transition literature was conducted with an emphasis on identifying substance use disorder-specific model elements. The resulting model is intended to guide addiction treatment and primary care providers and researchers in understanding factors that impact care coordination between addiction treatment and primary care and to provide an overview of evidence-based methods for supporting this care transition.

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“…It is estimated that each year, 500,000 children with special health care needs (CSHCN) will transition to adult practitioners (Mennito and Clark 2010 ) . It is estimated that each year, 500,000 children with special health care needs (CSHCN) will transition to adult practitioners (Mennito and Clark 2010 ) .…”

Section: Appendix 91: Neurovascular Websites For Parentsmentioning

confidence: 99%

Nursing Care of the Pediatric Neurosurgery Patient

Hickey

2013

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Transition Medicine: A Review of Current Theory and Practice

Cited by 27 publications

References 17 publications

Predictors of permanent disability among adults with spinal dysraphism

Predictors of permanent disability among adults with spinal dysraphism

Enhancing Transitions from Addiction Treatment to Primary Care

Nursing Care of the Pediatric Neurosurgery Patient

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