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

Nardone, Olga Maria, Iacucci, Marietta, Ghosh, Subrata and Castiglione, Fabiana (2020) Can a transition clinic bridge the gap between paediatric and adult inflammatory bowel disease care models? Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver. ISSN 1878-3562. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://www.dldjournalonline.com/article/S1590-865...

Abstract

Transition care in inflammatory bowel disease is increasingly recognized as challenging given the inherent differences between paediatric and adult health care models, disease characteristics and treatment strategies. Transition is a dynamic process involving adolescents and young adults that are moving from a paediatric to an adult health care setting, and it should be flexible, continually updated and tailored to each patient. The implementation of a transition clinic is essential given the increasing incidence of the paediatric population with inflammatory bowel disease and the lifelong impact of this disease. The key question is when and how to structure transition according to the adolescent's clinical, psycho-social, educational needs and expectations to ensure continuity of care. In the attempt to improve the management of transition in inflammatory bowel disease and address the wide gap between adult and child care, we provide an update of the transition clinic and we propose a "treat to target" approach in transition to facilitate an effective and successful transition programme. In the changing landscape of the treatment of inflammatory bowel disease, further studies are necessary to determine the role of the transition clinic in determining the choice and strategy of therapy and its monitoring and the adoption of newer strategies such as biomarkers guided treating to target.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WA Patients. Primary care. Medical profession. Forensic medicine
WI Digestive system. Gastroenterology
Divisions: Clinical Support > Immunology
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 08 Apr 2020 15:06
Last Modified: 08 Apr 2020 15:06
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2975

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