Cited by 649Adolescent and Pediatric HealthcareChild and Adolescent HealthHospital Admissions and Outcomes

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Improving the transition between paediatric and adult healthcare: a systematic review

Crowley, R, Wolfe, I, Lock, K, McKee, M·2011·Archives of Disease in Childhood

DOI 10.1136/adc.2010.202473

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Abstract

Introduction The transition between paediatric and adult care for young people with chronic illness or disability is often poorly managed, with adverse consequences for health. Although many agree that adolescent services need to be improved, there is little empirical data on which policies can be based. Objectives To systematically review the evidence of effectiveness of transitional care programmes in young people aged 11-25 with chronic illness (physical or mental) or disability, and identify their successful components. Design A systematic literature review in July 2010 of studies which consistently evaluated health outcomes following transition programmes, either by comparison with a control group or by measurement pre-intervention and post-intervention. Results 10 studies met the inclusion criteria, six of which showed statistically significant improvements in outcomes. Descriptive analysis identified three broad categories of intervention, directed at: the patient (educational programmes, skills training); staffing (named transition co-ordinators, joint clinics run by paediatric and adult physicians); and service delivery (separate young adult clinics, out of hours phone support, enhanced follow-up). The conditions involved varied (eg, cystic fibrosis, diabetes mellitus), and outcome measures varied accordingly. All six interventions that resulted in significant improvements were in studies of patients with diabetes mellitus, with glycosylated haemoglobin level, acute…

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Background
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BackgroundInfluential
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Section 12: Transition from pediatric to adult care
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Background
Transition to Adult Care
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“El objetivo de nuestro estudio ha sido analizar el con-trol metabólico y el grado de satisfacción en un grupo de pacientes con DM1 seguidos en nuestra UDP tras su paso a la UDA”
Influential
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Background
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“Studies have demonstrated that multidisciplinary transition clinics, where paediatric and adult specialists collaborate, can signi ﬁ cantly improve outcomes by providing consistent, coordinated care (23).”
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“Structured transition programs improve adjustment to adult life [151], especially for transplant recipients and high-risk HF patients, as younger transition age is associated with higher post-transplant mortality [152].”
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Authors: Crowley, R., Wolfe, I., Lock, K., & McKee, M.
Affiliations: London School of Hygiene & Tropical Medicine (GB)
Corresponding author: Wolfe, I
ORCID: Wolfe, I
McKee, M
Venue: Archives of Disease in Childhood
Publisher: BMJ
Published: 2011-03-08
Volume: 96
Issue: 6
Pages: 548-553
ISSN: 0003-9888 (ISSN-L)
1468-2044
DOI: 10.1136/adc.2010.202473
OpenAlex: W2121649468
Cited by: 649
References: 0
Citations by year: 2026: 29 · 2025: 27 · 2024: 25 · 2023: 33 · 2022: 45 · 2021: 44 · 2020: 49 · 2019: 54 · 2018: 43 · 2017: 57 · 2016: 53 · 2015: 56 · 2014: 47 · 2013: 44 · 2012: 32
FWCI: 7.89
Type: journal article
Language: en
Open access: closed
Locations: Archives of Disease in Childhood (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Keywords: care transitions, chronic disease, disability, youth, diabetes mellitus, patient education, glycosylated haemoglobin, health outcomes
MeSH terms: Adolescent, Adult, Child, Chronic Disease, Continuity of Patient Care, Delivery of Health Care, Health Services Research, Humans, Patient Education as Topic, Adolescent Health Services, Outcome Assessment, Health Care, Young Adult

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Improving the transition between paediatric and adult healthcare: a systematic review

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