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

Project Summary Title and Description

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

Associated Studies (each link opens a new tab)

Impact of a transition program with navigator on loss to follow-up, medication adherence, and appointment attendance in hemoglobinopathiesAllemang, 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 UnitAndreoli, 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 servicesAnnunziato, Rachel A;Baisley, Margaret C;Arrato, Nicole;Barton, Codette;Henderling, Fiona;Arnon, Ronen;Kerkar, Nanda2013
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 knowledgeAnton, 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 StudyBashore, L.;Bender, J.2016
Assessing the Satisfaction of Teens with Kidney Transplants who have Attended an Adolescent Transition ClinicBelair, Cheryl;Gilleland, Jordan;Amaral, Sandra2011
Testing the transition preparation training program: A randomized controlled trialBetz, Cecily L;Smith, Kathryn;Macias, Kristy2010
A formalized transition program for cystic fibrosis: A 10-year retrospective analysis of 97 patients in LyonBourgeois, 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 haemophiliaBreakey, 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 studyBushee, 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 trialButalia, Sonia;Crawford, Susan G;McGuire, K Ashlee;Dyjur, David K;Mercer, Julia R;Pacaud, Daniele2021
Transition process of patients with type 1 diabetes (T1DM) from paediatric to the adult health care service: A hospital-based approachCadario, 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 diseaseCalhoun, 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 TransitionCole, 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 attendanceCollins, 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 StudyContinisio, 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 NetworkCox, Kathleen H.;Morgan, Jennifer;Russo, Carolyn2021
Moving on from paediatric to adult health care: An initial evaluation of a transition program for young people with cystic fibrosisCraig, 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 SettingCroteau, Stacy E;Padula, Maura;Quint, Kate;D'Angelo, Loren;Neufeld, Ellis J2016
A transition program to adult health services for teenagers receiving long-term home mechanical ventilation: A longitudinal qualitative studyDale, 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 ProgramDingemann, 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 ApproachDisabato, J.A.;Cook, P.F.;Hutton, L.;Dinkel, T.;Levisohn, P.M.2015
Transition in endocrinology: the challenge of maintaining continuityDowning, Jennifer;Gleeson, Helena K;Clayton, Peter E;Davis, Julian R E;Wales, Jerry K;Callery, Peter2013
Improving health perception through a transition care model for adolescents with congenital heart diseaseFlocco, 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 ClinicFredericks, 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 diseaseFu, Nancy;Jacobson, Kevan;Round, Andrew;Evans, Kathi;Qian, Hong;Bressler, Brian2017
Evaluation of a multidisciplinary epilepsy transition clinic for adolescentsGeerlings, 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 studyGorter, Jan Willem;Stewart, Deb;Cohen, Eyal;Hlyva, Oksana;Morrison, Andrea;Galuppi, Barb;Nguyen, Tram;Amaria, Khush;Punthakee, Zubin;TRACE Study group2015
Pediatric Heart Transplantation: Transitioning to Adult Care (TRANSIT): Feasibility of a Pilot Randomized Controlled TrialGrady, 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 CoordinatorGray, 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 illnessHanghoj, 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 failureHarden, 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 clinicsHergenroeder, 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 projectHilderson, 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 CareHill, T.;Haut, C.2019
Preparing adolescents with chronic disease for transition to adult care: A technology programHuang, 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 programJensen, 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 programmeJohnson, R.;Edwards, R.;Rivers, A.;Patil, C.;Walsh, S.2020
HIV Health Care Transition Readiness: Embracing the Opportunity and ChallengeJones, S.C.;Ng, Y.C.;Ost, S.R.2019
A multidisciplinary approach to improving transition readiness in pediatric liver transplant recipientsJordan M, Shapiro;Ryan, Himes;Saira, Khaderi;Julie, Economides;Hashem B, El-Serag2020
Implementation of a transition model to adult care may not be enough to improve results: National study of kidney transplant recipientsKosola, S.;Ylinen, E.;Finne, P.;Ronnholm, K.;Ortiz, F.2019
Implementing a new adolescent epilepsy service: Improving patient experience and readiness for transitionLe 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 illnessLemke, 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 CareLestishock, L.;Nova, S.;Disabato, J.2021
Healthcare transition for youth with heart disease: a clinical trialMackie, 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 R2014
The impact of a coordinated transitional care programme on adolescents with juvenile idiopathic arthritisMcDonagh, J.E.;Southwood, T.R.;Shaw, K.L.2007
Pediatric to adult transition: A quality improvement model for primary careMcManus, 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 patientsMcQuillan, 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 careMeacham, 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 recipientsMichaud, Vanessa;Achille, Marie;Chainey, Fanie;Phan, Veronique;Girardin, Catherine;Clermont, Marie-Jose2019
Transition from children's to adult services for patients with ADHD: A model of careMoosa, F.;Sandhu, T.2015
The efficacy of a pilot pediatric cognitive remediation summer program to prepare for transition of careMurdaugh, D.L.;King, T.Z.;O'toole, K.2019
Asthma Academy: Developing educational technology to improve Asthma medication adherence and intervention efficiencyNair, A.S.;DeMuth, K.;Chih-Wen, Cheng;Wang, M.D.2017
Improving transition from paediatric to adult cystic fibrosis care: programme implementation and evaluationOkumura, Megumi J;Ong, Thida;Dawson, Diana;Nielson, Dennis;Lewis, Nancy;Richards, Martha;Brindis, Claire D;Kleinhenz, Mary Ellen2014
Planned Transition of Adolescent Patients with Inflammatory Bowel Disease Results in Higher Remission RatesOtto, 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 studyPape, L;Lammermuhle, J;Oldhafer, M;Blume, C;Weiss, R;Ahlenstiel, T2013
Controlled evaluation of a transition clinic for Dutch young people with cystic fibrosisPeeters, 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 TeamPeres, 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 NeedsPhillips;Leslie2018
Utility and cost of a renal transplant transition clinicPrestidge, Chanel;Romann, Alexandra;Djurdjev, Ognjenka;Matsuda-Abedini, Mina2012
Challenges contributing to disrupted transition from paediatric to adult diabetes care in young adults with Type 1 diabetesPyatak, 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 DiabetesPyatak, 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 diseaseRelas, Heikki;Kosola, Silja2019
Smoothing things over: the transition from pediatric to adult care for kidney transplant recipientsRemorino, Rowena;Taylor, Judy2006
The effects of music therapy on transition outcomes in adolescents and young adults with sickle cell diseaseRodgers-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 programRyscavage, 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 evaluationSattoe, 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 StudySaulsberry, Anjelica C;Hodges, Jason R;Cole, Audrey;Porter, Jerlym S;Hankins, Jane2020
Transitioning adolescents and young adults with spina bifida to adult healthcare: initial findings from a model programSawin, 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 adultsSchmidt, 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 studySchutz, L.;Radke, M.;Menzel, S.;Dabritz, J.2019
Developing a Transition Care Coordination Program for Youth With Spina BifidaSeeley, A.;Lindeke, L.2017
Let's empower and prepare (LEAP): Evaluation of a structured transition program for young adults with type 1 diabetesSequeira, 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 UKShaw, K.L.;Southwood, T.R.;McDonagh, J.E.2007
Differential effect of a patient-education transition intervention in adolescents with IBD vs. diabetesSilke, Schmidt;Henriette, Markwart;Franziska, Bomba;Holger, Muehlan;Annette, Findeisen;Martina, Kohl;Ingo, Menrath;Ute, Thyen2018
Initiating transitional care for adolescents with cystic fibrosis at the age of 12 is both feasible and promisingSkov, 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 diseaseSmith, 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 diabetesSpaic, 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 ComplexitySzalda, 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 experienceTesta, Anna;Giannetti, Eleonora;Rispo, Antonio;Rea, Matilde;Miele, Erasmo;Scarpato, Elena;Opramolla, Anna;Nardone, Olga Maria;Imperatore, Nicola;Di Luna, Imma;Staiano, Annamaria;Castiglione, Fabiana2019
Patient perspectives of a young adult renal clinic: A mixed-methods evaluationTong, 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 studyTye, 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 diseasevan 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 diabetesVan 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 protocolVanelli, M.;Caronna, S.;Adinolfi, B.;Chiari, G.;Gugliotta, M.;Arsenio, L.2004
Feasibility of Medical Student Mentors to Improve Transition in Sickle Cell DiseaseViola, 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 DiabetesWeigensberg, Marc J;Vigen, Cheryl;Sequeira, Paola;Spruijt-Metz, Donna;Juarez, Magaly;Florindez, Daniella;Provisor, Joseph;Peters, Anne;Pyatak, Elizabeth A2018
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 trialWhite, M.;O'Connell, M.A.;Cameron, F.J.2017
Health Care Transition in School-Based Health Centers: A Pilot StudyWhite, 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 clinicWilliams, S.;Newhook, L.A.A.;Power, H.;Shulman, R.;Smith, S.;Chafe, R.2020
Transitional health care for patients with Hirschsprung disease and anorectal malformationsWitvliet, 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 A2022 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 JS2021 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 BW2018 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 LJ2022 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 P2020 Aug

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