Display options
Share it on

Open Access Rheumatol. 2018 Jul 03;10:83-95. doi: 10.2147/OARRR.S138370. eCollection 2018.

Pediatric rheumatology: addressing the transition to adult-orientated health care.

Open access rheumatology : research and reviews

Sara Sabbagh, Tova Ronis, Patience H White

Affiliations

  1. Department of Rheumatology, Children's National Health System, Washington DC, USA.
  2. National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD USA.
  3. Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington DC, USA, [email protected].
  4. Department of Rheumatology, George Washington University School of Medicine and Health Sciences, Washington DC, USA, [email protected].
  5. Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington DC, USA, [email protected].

PMID: 30013406 PMCID: PMC6037274 DOI: 10.2147/OARRR.S138370

Abstract

The transition from pediatric to adult health care is often a challenging process due to multiple interwoven complexities, especially for children with chronic medical conditions. Health care transition (HCT) is a process of moving from a pediatric to an adult model of health care with or without a transfer to a new clinician. This paper focuses on what is known about HCT for youth and young adults (Y/YA) with rheumatic diseases within a larger context of HCT recommendations. HCT barriers for youth, families, and providers and current evidence for a structured HCT processes are reviewed. Practical advice is offered on how to approach transition for Y/YA, what tools are available to assist in a successful transition process, and what are the areas of future research that are needed to improve the HCT evidence base.

Keywords: health care transition; pediatric rheumatology; special health care needs; transition; transition readiness assessment

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

  1. Pediatr Rheumatol Online J. 2017 Sep 9;15(1):70 - PubMed
  2. Arthritis Care Res. 1991 Dec;4(4):174-80 - PubMed
  3. Ann Rheum Dis. 2016 Jan;75(1):190-5 - PubMed
  4. Issues Compr Pediatr Nurs. 1998 Apr-Jun;21(2):97-115 - PubMed
  5. Issues Compr Pediatr Nurs. 2000 Oct-Dec;23(4):203-44 - PubMed
  6. Lupus. 2016 Nov;25(13):1431-1439 - PubMed
  7. Pediatrics. 2011 Jul;128(1):182-200 - PubMed
  8. J Child Health Care. 2018 Jan 1;:1367493517753330 - PubMed
  9. J Child Health Care. 2006 Mar;10(1):22-42 - PubMed
  10. Child Care Health Dev. 2007 Jul;33(4):380-8 - PubMed
  11. Endocr Pract. 2017 Jul;23(7):822-830 - PubMed
  12. Disabil Rehabil. 2015;37(18):1651-63 - PubMed
  13. J Pediatr. 2017 Sep;188:263-269.e15 - PubMed
  14. J Adolesc Health. 2015 Sep;57(3):282-7 - PubMed
  15. J Pediatr Psychol. 2014 Jul;39(6):588-601 - PubMed
  16. Disabil Rehabil. 2018 Aug;40(16):1921-1928 - PubMed
  17. JAMA. 2010 Feb 17;303(7):623-30 - PubMed
  18. Issues Compr Pediatr Nurs. 2003 Jul-Sep;26(3):159-81 - PubMed
  19. Pediatr Rheumatol Online J. 2011 Dec 06;9(1):35 - PubMed
  20. Rheumatology (Oxford). 2004 Jun;43(6):770-8 - PubMed
  21. Pediatr Rheumatol Online J. 2011 Jun 07;9(1):10 - PubMed
  22. J Rheumatol. 2014 Apr;41(4):768-79 - PubMed
  23. Pediatrics. 2013 Jun;131(6):1090-7 - PubMed
  24. Nat Rev Rheumatol. 2011 May;7(5):290-5 - PubMed
  25. Acad Pediatr. 2014 Mar-Apr;14(2):120-7 - PubMed
  26. Child Care Health Dev. 2015 Jul;41(4):547-58 - PubMed
  27. Pediatrics. 2014 Jun;133(6):e1639-46 - PubMed
  28. Rheumatology (Oxford). 2007 Jan;46(1):161-8 - PubMed
  29. Fam Pract Manag. 2014 Sep-Oct;21(5):8-12 - PubMed
  30. J Pediatr Nurs. 2015 Sep-Oct;30(5):668-76 - PubMed
  31. J Adolesc Health. 2015 Jan;56(1):73-8 - PubMed
  32. Rehabil Psychol. 2013 Feb;58(1):98-105 - PubMed
  33. Ren Fail. 2012;34(6):744-53 - PubMed
  34. Acad Pediatr. 2014 Jul-Aug;14(4):415-22 - PubMed
  35. Ann Rheum Dis. 2016 Apr;76(4):639-646 - PubMed
  36. Ann Surg. 2015 May;261(5):821-8 - PubMed
  37. Rheumatology (Oxford). 2016 Jan;55(1):133-42 - PubMed
  38. Congenit Heart Dis. 2016 Mar-Apr;11(2):136-43 - PubMed
  39. J Pediatr Nurs. 2015 Sep-Oct;30(5):691-9 - PubMed
  40. Rheum Dis Clin North Am. 2007 Aug;33(3):661-72 - PubMed
  41. Semin Arthritis Rheum. 2016 Dec;46(3):372-379 - PubMed
  42. Joint Bone Spine. 2018 Jul;85(4):435-440 - PubMed
  43. Prog Transplant. 2006 Dec;16(4):291-302 - PubMed
  44. J Pediatr Nurs. 2015 Sep-Oct;30(5):776-87 - PubMed
  45. Pediatrics. 2014 Dec;134(6):e1648-61 - PubMed
  46. Int J Adolesc Med Health. 2014;26(2):159-74 - PubMed
  47. J Clin Exp Neuropsychol. 2003 Apr;25(2):242-54 - PubMed
  48. Res Nurs Health. 2018 Feb;41(1):78-87 - PubMed
  49. Pediatr Rheumatol Online J. 2010 Jan 11;8:2 - PubMed
  50. J Adolesc Health. 2015 Jun;56(6):612-8 - PubMed
  51. Arthritis Rheum. 2011 Sep;63(9):2809-18 - PubMed
  52. Arch Intern Med. 2006 Sep 25;166(17):1822-8 - PubMed
  53. Pediatr Clin North Am. 1984 Feb;31(1):3-18 - PubMed
  54. Health Soc Work. 2018 Feb 1;43(1):3-6 - PubMed
  55. J Adolesc Health. 2014 Dec;55(6):796-803 - PubMed
  56. J Pediatr Psychol. 2011 Mar;36(2):160-71 - PubMed
  57. J Pediatr Nurs. 2015 Sep-Oct;30(5):700-13 - PubMed

Publication Types