Transitions of Care From Pediatric to Adult Services For Children With Special Healthcare Needs

Project Summary Title and Description

Title
Transitions of Care From Pediatric to Adult Services For Children With Special Healthcare Needs
Description
Structured Abstract Objective. To understand the evidence base for care interventions, implementation strategies, and between-provider communication tools among children with special healthcare needs (CSHCN) transitioning from pediatric to adult medical care services. Data Sources. We searched Ovid Medline, Ovid Embase, the Cochrane Central trials (CENTRAL) registry, and CINAHL to identify studies through September 10, 2021. We conducted grey literature searches to identify additional resources relevant to contextual questions. Review Methods. Using a mixed-studies review approach, we searched for interventions or implementation strategies for transitioning CSHCN from pediatric to adult services. Two investigators screened abstracts and full-text articles of identified references for eligibility. Eligible studies included randomized controlled trials, quasi-experimental observational, and mixed method studies of CSHCN, their families, caregivers, or healthcare providers. We extracted basic study information from all eligible studies and grouped interventions into categories based on disease conditions. We summarized basic study characteristics for included studies and outcomes for studies assessed as low to medium risk of bias using ROB-2. Results. We identified 9,549 unique references, 440 of which represented empirical research; of these, 154 (16 major disease categories) described or examined a care transition intervention with enough detail to be potentially eligible for inclusion in any of the Key Questions. Of these, 96 studies met comparator criteria to undergo risk of bias assessment; however only nine studies were assessed as low or medium risk of bias and included in our analytic set. Low-strength evidence shows transition clinics may not improve hemoglobin A1C levels either at 12 or 24 months in youth with type 1 diabetes mellitus compared with youth who received usual care. For all other interventions and outcomes, the evidence was insufficient to draw meaningful conclusions because the uncertainty of evidence was too high. Some approaches to address barriers include dedicating time and resources to support transition planning, developing a workforce trained to care for the needs of this population, and creating structured processes and tools to facilitate the transition process. No globally accepted definition for effective transition of care from pediatric to adult services for CSHCN exists; definitions are often drawn from principles for transitions, encompassing a broad set of clinical aspects and other factors that influence care outcomes or promote continuity of care. There is also no single measure or set of measures consistently used to evaluate effectiveness of transitions of care. The literature identifies a limited number of available training and other implementation strategies focused on specific clinical specialties in targeted settings. No eligible studies measured the effectiveness of providing linguistic and culturally competent healthcare care for CSHCN. Identified transition care training, and care interventions to prepare pediatric patients and their families for transitioning CSHCN to adult care, varied considerably. 10 Conclusions. Little rigorous evidence exists to inform care interventions and implementation strategies. Significant barriers impede implementation of interventions, tools, and trainings to transition CSHCN that may be reduced in future intervention development. This review highlights the need for more rigorous studies across the diverse populations of CSHCN in order to provide clearer answers for CSHCN, their families, caregivers, providers, funders, and policymakers.
Attribution
MN EPC
Authors of Report
Helen M. Parsons, Ph.D., M.P.H. Hamdi I. Abdi, M.P.H. Victoria A. Nelson, M.Sc. Amy Claussen, M.L.I.S. Brittin L. Wagner, Ph.D. Karim T. Sadak, M.D., M.P.H., M.S.E Peter B. Scal, M.D., M.P.H. Timothy J. Wilt, M.D., M.P.H. Mary Butler, Ph.D., M.B.A.
Methodology description
Systematic Review
PROSPERO
N/A
DOI
N/A
Notes
Details about Outcome measures can be found in the "Outcome Details" tab, not the Outcome tab. Outcome results only recorded for Low or Medium ROB studies (also found in the Outcome Details tab)
Funding Source
Agency for Healthcare Research and Quality (AHRQ), Rockville, MD

Key Questions

1. • KQ1
2. • KQ2
3. • KQ3

Associated Extraction Forms

Type
Standard

Associated Studies (each link opens a new tab)

Title Authors Year
Impact of a transition program with navigator on loss to follow-up, medication adherence, and appointment attendance in hemoglobinopathies Allemang, B.;Allan, K.;Johnson, C.;Cheong, M.;Cheung, P.;Odame, I.;Ward, R.;Williams, S.;Mukerji, G.;Kuo, K.H.M. 2019
Implementing Pediatric Transition Education Initiative During Inpatient Admissions in the Epilepsy Monitoring Unit Andreoli, A.;Klingbeil, C. 2021
Strangers headed to a strange land? A pilot study of using a transition coordinator to improve transfer from pediatric to adult services Annunziato, Rachel A;Baisley, Margaret C;Arrato, Nicole;Barton, Codette;Henderling, Fiona;Arnon, Ronen;Kerkar, Nanda 2013
Can transition to adult care for transplant recipients be improved by intensified services while patients are still in pediatrics? Annunziato, R.A.;Parbhakar, M.;Kapoor, K.;Matloff, R.;Casey, N.;Benchimol, C.;Hotchkiss, H.;Nair, V.;Saland, J. 2015
Preparing for transition: The effects of a structured transition program on adolescent heart transplant patients' adherence and transplant knowledge Anton, C.M.;Anton, K.;Butts, R.J. 2019
Evaluation of the Utility of a Transition Workbook in Preparing Adolescent and Young Adult Cancer Survivors for Transition to Adult Services: A Pilot Study Bashore, L.;Bender, J. 2016
Assessing the Satisfaction of Teens with Kidney Transplants who have Attended an Adolescent Transition Clinic Belair, Cheryl;Gilleland, Jordan;Amaral, Sandra 2011
Testing the transition preparation training program: A randomized controlled trial Betz, Cecily L;Smith, Kathryn;Macias, Kristy 2010
A formalized transition program for cystic fibrosis: A 10-year retrospective analysis of 97 patients in Lyon Bourgeois, G.;Magne, F.;Nove Josserand, R.;Durupt, S.;Durieu, I.;Reix, P.;Reynaud, Q. 2021
A pilot randomized control trial to evaluate the feasibility of an Internet-based self-management and transitional care program for youth with haemophilia Breakey, V.R.;Ignas, D.M.;Warias, A.V.;White, M.;Blanchette, V.S.;Stinson, J.N. 2014
Changes in care patterns associated with a transition program in adolescents with congenital heart disease: A single center study Bushee, C.;Ginde, S.;Earing, M. G.;Buelow, M.;Reinhardt, E.;Cohen, S. 2021
Improved transition to adult care in youth with type 1 diabetes: a pragmatic clinical trial Butalia, Sonia;Crawford, Susan G;McGuire, K Ashlee;Dyjur, David K;Mercer, Julia R;Pacaud, Daniele 2021
Transition process of patients with type 1 diabetes (T1DM) from paediatric to the adult health care service: A hospital-based approach Cadario, F.;Prodam, F.;Bellone, S.;Binotti, M.;Trada, M.;Allochis, G.;Baldelli, R.;Esposito, S.;Bona, G.;Aimaretti, G. 2009
Implementation of an educational intervention to optimize self-management and transition readiness in young adults with sickle cell disease Calhoun, C.L.;Abel, R.A.;Pham, H.A.;Thompson, S.;King, A.A. 2019
Evaluation of Outcomes in Adolescent Inflammatory Bowel Disease Patients Following Transfer from Pediatric to Adult Health Care Services: Case for Transition Cole, R.;Ashok, D.;Razack, A.;Azaz, A.;Sebastian, S. 2015
Effect of transfer from a pediatric to adult cystic fibrosis center on clinical status and hospital attendance Collins, R.;Singh, B.;Payne, D. N.;Bharat, C.;Noffsinger, W.;Dhaliwal, S. S.;O'Dea, C.;Mulrennan, S. 2021
The Transition of Care From Pediatric to Adult Health-Care Services of Vertically HIV-Infected Adolescents: A Pilot Study Continisio, G.I.;Lo Vecchio, A.;Basile, F.W.;Russo, C.;Cotugno, M.R.;Palmiero, G.;Storace, C.;Mango, C.;Guarino, A.;Bruzzese, E. 2020
Using a Nonclinical Patient Navigator Program in a Pediatric Oncology Network Cox, Kathleen H.;Morgan, Jennifer;Russo, Carolyn 2021
Moving on from paediatric to adult health care: An initial evaluation of a transition program for young people with cystic fibrosis Craig, S.L.;Towns, S.;Bibby, H. 2007
Center-Based Quality Initiative Targets Youth Preparedness for Medical Independence: HEMO-Milestones Tool in a Comprehensive Hemophilia Clinic Setting Croteau, Stacy E;Padula, Maura;Quint, Kate;D'Angelo, Loren;Neufeld, Ellis J 2016
A transition program to adult health services for teenagers receiving long-term home mechanical ventilation: A longitudinal qualitative study Dale, C.M.;Carbone, S.;Amin, R.;Amaria, K.;Varadi, R.;Goldstein, R.S.;Rose, L. 2020
Transition of Patients with Esophageal Atresia to Adult Care: Results of a Transition-Specific Education Program Dingemann, J.;Szczepanski, R.;Ernst, G.;Thyen, U.;Ure, B.;Goll, M.;Menrath, I. 2017
Transition from Pediatric to Adult Specialty Care for Adolescents and Young Adults with Refractory Epilepsy: A Quality Improvement Approach Disabato, J.A.;Cook, P.F.;Hutton, L.;Dinkel, T.;Levisohn, P.M. 2015
Transition in endocrinology: the challenge of maintaining continuity Downing, Jennifer;Gleeson, Helena K;Clayton, Peter E;Davis, Julian R E;Wales, Jerry K;Callery, Peter 2013
Improving health perception through a transition care model for adolescents with congenital heart disease Flocco, S.F.;Dellafiore, F.;Caruso, R.;Giamberti, A.;Micheletti, A.;Negura, D.G.;Piazza, L.;Carminati, M.;Chessa, M. 2019
Quality Improvement Targeting Adherence During the Transition from a Pediatric to Adult Liver Transplant Clinic Fredericks, E.M.;Magee, J.C.;Eder, S.J.;Sevecke, J.R.;Dore-Stites, D.;Shieck, V.;Lopez, M.J. 2015
Transition clinic attendance is associated with improved beliefs and attitudes toward medicine in patients with inflammatory bowel disease Fu, Nancy;Jacobson, Kevan;Round, Andrew;Evans, Kathi;Qian, Hong;Bressler, Brian 2017
Evaluation of a multidisciplinary epilepsy transition clinic for adolescents Geerlings, R.P.J.;Aldenkamp, A.P.;Gottmer-Welschen, L.M.C.;De With, P.H.N.;Zinger, S.;Van Staa, A.L.;De Louw, A.J.A. 2016
Are two youth-focused interventions sufficient to empower youth with chronic health conditions in their transition to adult healthcare: a mixed-methods longitudinal prospective cohort study Gorter, Jan Willem;Stewart, Deb;Cohen, Eyal;Hlyva, Oksana;Morrison, Andrea;Galuppi, Barb;Nguyen, Tram;Amaria, Khush;Punthakee, Zubin;TRACE Study group 2015
Pediatric Heart Transplantation: Transitioning to Adult Care (TRANSIT): Feasibility of a Pilot Randomized Controlled Trial Grady, K.L.;Andrei, A.-C.;Shankel, T.;Chinnock, R.;Miyamoto, S.D.;Ambardekar, A.V.;Anderson, A.;Addonizio, L.;Latif, F.;Lefkowitz, D.;Goldberg, L.R.;Hollander, S.A.;Pham, M.;Van't Hof, K.;Weissberg-Benchell, J.;Yancy, C.;Liu, M.;Melody, N.;Pahl, E. 2019
Improving IBD Transition, Self-management, and Disease Outcomes With an In-clinic Transition Coordinator Gray, W.N.;Holbrook, E.;Dykes, D.;Morgan, P.J.;Saeed, S.A.;Denson, L.A. 2019
Feasibility of a transition intervention aimed at adolescents with chronic illness Hanghoj, S.;Boisen, K.A.;Schmiegelow, K.;Holge-Hazelton, B. 2018
Bridging the gap: An integrated paediatric to adult clinical service for young adults with kidney failure Harden, P.N.;Walsh, G.;Bandler, N.;Bradley, S.;Lonsdale, D.;Taylor, J.;Marks, S.D. 2012
Functional classification of heart failure before and after implementing a healthcare transition program for youth and young adults transferring from a pediatric to an adult congenital heart disease clinics Hergenroeder, A.C.;Moodie, D.S.;Penny, D.J.;Wiemann, C.M.;Sanchez-Fournier, B.;Moore, L.K.;Head, J. 2018
The clinical impact of a brief transition programme for young people with juvenile idiopathic arthritis: Results of the DON'T RETARD project Hilderson, D.;Moons, P.;Van der Elst, K.;Luyckx, K.;Wouters, C.;Westhovens, R. 2016
Adolescents with Chronic Kidney Disease: A Model for Transition to Adult Care Hill, T.;Haut, C. 2019
Preparing adolescents with chronic disease for transition to adult care: A technology program Huang, J.S.;Terrones, L.;Tompane, T.;Dillon, L.;Pian, M.;Gottschalk, M.;Norman, G.J.;Bartholomew, L.K. 2014
Quantitative evaluation of a pediatric rheumatology transition program Jensen, P.T.;Karnes, J.;Jones, K.;Lehman, A.;Rennebohm, R.;Higgins, G.C.;Spencer, C.H.;Ardoin, S.P. 2015
Evaluating literacy levels of patient education materials for a sickle cell transition group education programme Johnson, R.;Edwards, R.;Rivers, A.;Patil, C.;Walsh, S. 2020
HIV Health Care Transition Readiness: Embracing the Opportunity and Challenge Jones, S.C.;Ng, Y.C.;Ost, S.R. 2019
A multidisciplinary approach to improving transition readiness in pediatric liver transplant recipients Jordan M, Shapiro;Ryan, Himes;Saira, Khaderi;Julie, Economides;Hashem B, El-Serag 2020
Implementation of a transition model to adult care may not be enough to improve results: National study of kidney transplant recipients Kosola, S.;Ylinen, E.;Finne, P.;Ronnholm, K.;Ortiz, F. 2019
Implementing a new adolescent epilepsy service: Improving patient experience and readiness for transition Le Marne, F.A.;Towns, S.J.;Gaskin, C.;Ho, J.;Baker, R.;Beavis, E.;Bye, A.M. 2019
Perceptions of health care transition care coordination in patients with chronic illness Lemke, M.;Kappel, R.;McCarter, R.;D'Angelo, L.;Tuchman, L.K. 2018
Improving Adolescent and Young Adult Engagement in the Process of Transitioning to Adult Care Lestishock, L.;Nova, S.;Disabato, J. 2021
Healthcare transition for youth with heart disease: a clinical trial Mackie, Andrew S;Islam, Sunjidatul;Magill-Evans, Joyce;Rankin, Kathryn N;Robert, Cheri;Schuh, Michelle;Nicholas, David;Vonder Muhll, Isabelle;McCrindle, Brian W;Yasui, Yutaka;Rempel, Gwen R 2014
The impact of a coordinated transitional care programme on adolescents with juvenile idiopathic arthritis McDonagh, J.E.;Southwood, T.R.;Shaw, K.L. 2007
Pediatric to adult transition: A quality improvement model for primary care McManus, M.;White, P.;Barbour, A.;Downing, B.;Hawkins, K.;Quion, N.;Tuchman, L.;Cooley, W.C.;McAllister, J.W. 2015
Benefits of a transfer clinic in adolescent and young adult kidney transplant patients McQuillan, R.F.;Toulany, A.;Kaufman, M.;Schiff, J.R. 2015
University health centers and young adult survivors of pediatric cancer: Changes in providers' familiarity with and practice of survivor care Meacham, L.R.;Williamson, R.S.;Forehand, R.L.;Deloach, B.M.;Rabinovitz, S.R.;Huey, M.J.;Olson, M.L.;Cottrell, L.;Edwards, P.J.;Cherven, B.O.;Mertens, A.C. 2014
Mixed-methods evaluation of a transition and young adult clinic for kidney transplant recipients Michaud, Vanessa;Achille, Marie;Chainey, Fanie;Phan, Veronique;Girardin, Catherine;Clermont, Marie-Jose 2019
Transition from children's to adult services for patients with ADHD: A model of care Moosa, F.;Sandhu, T. 2015
The efficacy of a pilot pediatric cognitive remediation summer program to prepare for transition of care Murdaugh, D.L.;King, T.Z.;O'toole, K. 2019
Asthma Academy: Developing educational technology to improve Asthma medication adherence and intervention efficiency Nair, A.S.;DeMuth, K.;Chih-Wen, Cheng;Wang, M.D. 2017
Improving transition from paediatric to adult cystic fibrosis care: programme implementation and evaluation Okumura, Megumi J;Ong, Thida;Dawson, Diana;Nielson, Dennis;Lewis, Nancy;Richards, Martha;Brindis, Claire D;Kleinhenz, Mary Ellen 2014
Planned Transition of Adolescent Patients with Inflammatory Bowel Disease Results in Higher Remission Rates Otto, C.;Tarnok, A.;Eros, A.;Szakacs, Z.;Vincze, A.;Farkas, N.;Sarlos, P. 2019
Different models of transition to adult care after pediatric kidney transplantation: a comparative study Pape, L;Lammermuhle, J;Oldhafer, M;Blume, C;Weiss, R;Ahlenstiel, T 2013
Controlled evaluation of a transition clinic for Dutch young people with cystic fibrosis Peeters, M.A.C.;Sattoe, J.N.T.;van Staa, A.;Versteeg, S.E.;Heeres, I.;Rutjes, N.W.;Janssens, H.M. 2019
Implementing a Transition Program from Paediatric to Adult Services in Phenylketonuria: Results After Two Years of Follow-Up with an Adult Team Peres, M.;Almeida, M. F.;Pinto, E. J.;Carmona, C.;Rocha, S.;Guimas, A.;Ribeiro, R.;Martins, E.;Bandeira, A.;MacDonald, A.;Rocha, J. C. 2021
Development and Evaluation Of a Training Program for Adolescents With Special Healthcare Needs Phillips;Leslie 2018
Utility and cost of a renal transplant transition clinic Prestidge, Chanel;Romann, Alexandra;Djurdjev, Ognjenka;Matsuda-Abedini, Mina 2012
Challenges contributing to disrupted transition from paediatric to adult diabetes care in young adults with Type 1 diabetes Pyatak, E.A.;Sequeira, P.A.;Whittemore, R.;Vigen, C.P.;Peters, A.L.;Weigensberg, M.J. 2014
Clinical and Psychosocial Outcomes of a Structured Transition Program Among Young Adults With Type 1 Diabetes Pyatak, E.A.;Sequeira, P.A.;Vigen, C.L.P.;Weigensberg, M.J.;Wood, J.R.;Montoya, L.;Ruelas, V.;Peters, A.L. 2017
Acceptable quality of life and low disease activity achievable among transition phase patients with rheumatic disease Relas, Heikki;Kosola, Silja 2019
Smoothing things over: the transition from pediatric to adult care for kidney transplant recipients Remorino, Rowena;Taylor, Judy 2006
The effects of music therapy on transition outcomes in adolescents and young adults with sickle cell disease Rodgers-Melnick, S.N.;Pell, T.J.G.;Lane, D.;Jenerette, C.;Fu, P.;Margevicius, S.;Little, J.A. 2019
Stepping up: retention in HIV care within an integrated health care transition program Ryscavage, P.;Herbert, L.;Roberts, B.;Cain, J.;Lovelace, S.;Houck, D.;Tepper, V. 2021
Value of an outpatient transition clinic for young people with inflammatory bowel disease: A mixed-methods evaluation Sattoe, J.N.T.;Peeters, M.A.C.;Haitsma, J.;Van Staa, A.;Wolters, V.M.;Escher, J.C. 2020
Web-Based Technology to Improve Disease Knowledge Among Adolescents With Sickle Cell Disease: Pilot Study Saulsberry, Anjelica C;Hodges, Jason R;Cole, Audrey;Porter, Jerlym S;Hankins, Jane 2020
Transitioning adolescents and young adults with spina bifida to adult healthcare: initial findings from a model program Sawin, K.J.;Rauen, K.;Bartelt, T.;Wilson, A.;O'Connor, R.C.;Waring, W.P.;Orr, M. 2015
A multicenter prospective quasi-experimental study on the impact of a transition-oriented generic patient education program on health service participation and quality of life in adolescents and young adults Schmidt, S.;Herrmann-Garitz, C.;Bomba, F.;Thyen, U. 2016
Long-term implications of structured transition of adolescents with inflammatory bowel disease into adult health care: A retrospective study Schutz, L.;Radke, M.;Menzel, S.;Dabritz, J. 2019
Developing a Transition Care Coordination Program for Youth With Spina Bifida Seeley, A.;Lindeke, L. 2017
Let's empower and prepare (LEAP): Evaluation of a structured transition program for young adults with type 1 diabetes Sequeira, P.A.;Pyatak, E.A.;Weigensberg, M.J.;Vigen, C.P.;Wood, J.R.;Ruelas, V.;Montoya, L.;Cohen, M.;Speer, H.;Clark, S.;Peters, A.L. 2015
Young people's satisfaction of transitional care in adolescent rheumatology in the UK Shaw, K.L.;Southwood, T.R.;McDonagh, J.E. 2007
Differential effect of a patient-education transition intervention in adolescents with IBD vs. diabetes Silke, Schmidt;Henriette, Markwart;Franziska, Bomba;Holger, Muehlan;Annette, Findeisen;Martina, Kohl;Ingo, Menrath;Ute, Thyen 2018
Initiating transitional care for adolescents with cystic fibrosis at the age of 12 is both feasible and promising Skov, M.;Teilmann, G.;Damgaard, I.N.;Nielsen, K.G.;Hertz, P.G.;Holgersen, M.G.;Presfeldt, M.;Dalager, A.M.S.;Brask, M.;Boisen, K.A. 2018
Growing up with sickle cell disease: A pilot study of a transition program for adolescents with sickle cell disease Smith, G.M.;Lewis, V.R.;Whitworth, E.;Gold, D.T.;Thornburg, C.D. 2011
Closing the gap: Results of the multicenter Canadian randomized controlled trial of structured transition in young adults with type 1 diabetes Spaic, T.;Robinson, T.;Goldbloom, E.;Gallego, P.;Hramiak, I.;Lawson, M.L.;Malcolm, J.;Mahon, J.;Morrison, D.;Parikh, A.;Simone, A.;Stein, R.;Uvarov, A.;Clarson, C. 2019
Developing a Hospital-Wide Transition Program for Young Adults With Medical Complexity Szalda, D.;Steinway, C.;Greenberg, A.;Quinn, S.;Stollon, N.;Wu, K.;Trachtenberg, S.;Jan, S. 2019
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;Di Luna, Imma;Staiano, Annamaria;Castiglione, Fabiana 2019
Patient perspectives of a young adult renal clinic: A mixed-methods evaluation Tong, A.;Gow, K.;Wong, G.;Henning, P.;Carroll, R. 2015
The development and evaluation of a "heartBEAT" Adolescent Transition Psychoeducational Program for adolescents with congenital heart defects: A preliminary study Tye, S. K.;Wan Ahmadul Badwi, S. A.;Alwi, A.;Kandavello, G. 2021
Self-efficacy did not predict the outcome of the transition to adult care in adolescents with inflammatory bowel disease van den Brink, G.;van Gaalen, M.A.C.;Zijlstra, M.;de Ridder, L.;van der Woude, C.J.;Escher, J.C. 2019
Evaluation of a systems navigator model for transition from pediatric to adult care for young adults with type 1 diabetes Van Walleghem, N.;MacDonald, C.A.;Dean, H.J. 2008
Effectiveness of an uninterrupted procedure to transfer adolescents with Type 1 diabetes from the Paediatric to the Adult Clinic held in the same hospital: Eight-year experience with the Parma protocol Vanelli, M.;Caronna, S.;Adinolfi, B.;Chiari, G.;Gugliotta, M.;Arsenio, L. 2004
Feasibility of Medical Student Mentors to Improve Transition in Sickle Cell Disease Viola, A. S.;Drachtman, R.;Kaveney, A.;Sridharan, A.;Savage, B.;Delnevo, C. D.;Coups, E. J.;Porter, J. S.;Devine, K. A. 2021
Diabetes Empowerment Council: Integrative Pilot Intervention for Transitioning Young Adults With Type 1 Diabetes Weigensberg, Marc J;Vigen, Cheryl;Sequeira, Paola;Spruijt-Metz, Donna;Juarez, Magaly;Florindez, Daniella;Provisor, Joseph;Peters, Anne;Pyatak, Elizabeth A 2018
Standardized multilevel transition program: Does it affect renal transplant outcome? Weitz, M.;Heeringa, S.;Neuhaus, T.J.;Fehr, T.;Laube, G.F. 2015
Clinic attendance and disengagement of young adults with type 1 diabetes after transition of care from paediatric to adult services (TrACeD): a randomised, open-label, controlled trial White, M.;O'Connell, M.A.;Cameron, F.J. 2017
Health Care Transition in School-Based Health Centers: A Pilot Study White, P. H.;Ilango, S. M.;Caskin, A. M.;la Guardia, M. G. A.;McManus, M. A. 2020
Improving the transitioning of pediatric patients with type 1 diabetes into adult care by initiating a dedicated single session transfer clinic Williams, S.;Newhook, L.A.A.;Power, H.;Shulman, R.;Smith, S.;Chafe, R. 2020
Transitional health care for patients with Hirschsprung disease and anorectal malformations Witvliet, M.J.;Petersen, N.;Ekkerman, E.;Sleeboom, C.;van Heurn, E.;van der Steeg, A.F.W. 2017
Creating a sustainable pediatric diabetes transition program. Bindiganavle A, Manion A 2022 Jan-Feb
Transition care continuity promotes long-term retention in adult care among young adults with sickle cell disease. Howell KE, Saulsberry-Abate AC, Mathias JG, Porter JS, Hodges JR, Ataga KI, Anderson S, Nolan V, Hankins JS 2021 Oct
Transition Intervention for Adolescents With Congenital Heart Disease. Mackie AS, Rempel GR, Kovacs AH, Kaufman M, Rankin KN, Jelen A, Yaskina M, Sananes R, Oechslin E, Dragieva D, Mustafa S, Williams E, Schuh M, Manlhiot C, Anthony SJ, Magill-Evans J, Nicholas D, McCrindle BW 2018 Apr 24
Transition Navigator Intervention Improves Transition Readiness to Adult Care for Youth With Sickle Cell Disease. Manwani D, Doyle MH, Davidson L, Mallea M, Silver EJ, Jackson J, Chhabra R, Morrone K, Minniti C, Rastogi D, Stein REK, Oyeku S, Bauman LJ 2022 Apr
A transition clinic model for inflammatory bowel disease between two tertiary care centers: outcomes and predictive factors. Scaldaferri F, Angelino G, Romeo EF, Lopetuso LR, Ricca O, Filoni S, Borrelli E, Torroni F, Faraci S, Rea F, Giorgio V, Pizzoferrato M, Poscia A, Ferrarese D, Camardese G, Neri M, Armuzzi A, Dall'Oglio L, Gasbarrini A, De Angelis P 2020 Aug

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