Journal Article

Adolescents with IBD: The importance of structured transition care

J. Goodhand, C.R. Hedin, N.M. Croft and J.O. Lindsay

in Journal of Crohn's and Colitis

Published on behalf of European Crohn's and Colitis Organisation

Volume 5, issue 6, pages 509-519
Published in print December 2011 | ISSN: 1873-9946
Published online December 2011 | e-ISSN: 1876-4479 | DOI: https://dx.doi.org/10.1016/j.crohns.2011.03.015
Adolescents with IBD: The importance of structured transition care

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Abstract

Children and adolescents with inflammatory bowel disease (IBD) tend to have more extensive and severe disease than adults. IBD presenting in childhood interferes with growth, education and employment as well as psychosocial and sexual development, frequently delaying adolescent developmental milestones. Transition, in the context of healthcare, is the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions to adult-orientated healthcare systems. Although no single model has been widely adopted and despite a paucity of data, recent guidelines from Europe and the USA propose the formation of specialist transition clinics for adolescent patients with IBD. In order to develop a successful transition service, the barriers that arise because of differences between paediatric and adult IBD services need to be identified. In this article, we review the concept of transitional care for adolescents with IBD, highlighting the important differences in not only, paediatric and adult IBD, but also paediatric and adult IBD services. We consider the consequences of failed transition, and describe the limited published data reporting different approaches to transition in IBD, before outlining our own approach.

Keywords: Inflammatory Bowel Disease; Crohn's disease; Ulcerative colitis; Adolescents; Medical care

Journal Article.  6882 words.  Illustrated.

Subjects: Medicine and Health ; Clinical Medicine ; Gastroenterology ; Gastro-intestinal and Colorectal Surgery ; Health, Illness, and Medicine

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