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 17 January 2018

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News

Guidelines on transition from pediatric to adult care with chronic digestive diseases

The most recent issue of Gut provides UK guidelines on the transition of adolescent and young persons with chronic digestive diseases from pediatric to adult care. 

News image

The risks of poor transition include delayed and inappropriate transfer that can result in disengagement with healthcare. 

Structured transition care can improve control of chronic digestive diseases and long-term health-related outcomes. 

These are the first nationally developed guidelines on the transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care. 

Dr Alenka Brooks and colleagues from the United Kingdom report on the guidelines commissioned by the Clinical Services and Standards Committee of the British Society of Gastroenterology under the auspices of the Adolescent and Young Persons Section. 

The team's guidelines include risks of failing transition or poor transition
Gut
Electronic searches for English-language articles were performed with keywords relating to digestive system diseases and transition to adult care in the Medline, PsycInfo, Web of Science and CINAHL databases for studies published from 1980 to 2014. 

The team appraised the quality of evidence and grading of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. 

The researchers observed limited number of studies in gastroenterology and hepatology required the addition of relevant studies from other chronic diseases.

The team's guidelines included patient populations involved in adolescent and young persons' transition, risks of failing transition or poor transition, models of transition, patient and carer/parent perspective in transition, and surgical perspectives.

Dr Brooks' team comments, "These guidelines deal specifically with the transition of adolescent and young persons living with a diagnosis of chronic digestive disease and/or liver disease from pediatric to adult healthcare under the following headings."

Gut 2017;66:988-1000
16 May 2017

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