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Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients

Bibliographic Data

ID15714739
AuthorsJennifer Shearer (0000-0001-6557-9728, Case Western Reserve University), Jennifer Lynne Shearer (Case Western Reserve University), Sharon Perry (Rainbow Babies & Children's Hospital), Nicole Lidyard (Rainbow Babies & Children's Hospital), Carolyn Apperson-Hensen (Case Western Reserve University), Sarah Delozier (0000-0002-0804-8864, Center for Clinical Research (United States)), Kimberly Burkhart (Rainbow Babies & Children's Hospital), Jeffry Katz (University Hospitals of Cleveland), Jonathan Moses (0000-0002-6660-4494, Case Western Reserve University, corresponding author)
Year2020
Volume7
Issue12
Pages271-271
Publication date2020-12-04
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children7120271
PMID33291611
OpenAlexW3112480049
LanguageEN
References cited21

To reduce lapses in care for pediatric inflammatory bowel disease (IBD) patients approaching adulthood, a health maintenance transition visit (HMV) was developed to supplement standard medical care (SMV). Our aim was to assess the effect of the HMV on transition readiness. A retrospective chart review was conducted at a single center with demographics and clinical data from HMV and SMV visits. Effectiveness of the HMV was assessed by the patient health questionanaire-9 (PHQ-9) and transition readiness assessment questionnaire (TRAQ) scores. A total of 140 patients, 80% Caucasian and 59% male completed an HMV. The mean age was 18 ± 2 years old, and 93% of patients reported inactive or mild disease. Patients who completed at least 1 prior HMV scored significantly higher on the TRAQ when transferring to adult care compared to patients transferred at their first HMV visit (92 vs. 83, p p < 0.05). This study demonstrated a structured HMV increased transition readiness and quantified the significant under-diagnosis of depression in this population, emphasizing the importance of screening. These results indicate depression may affect patients' transition preparedness

Anxiety · Demographics · Depression (economics · Depressive symptoms · Disease · Health care · Patient Health Questionnaire · Population · Preparedness · Psychiatry · Young adult · Adolescent and Pediatric Healthcare · Childhood Cancer Survivors' Quality of Life · Eosinophilic Esophagitis · Inflammatory Bowel Disease · Medicine · Internal Medicine · Pediatrics

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    Open Access•Paul A Harris, Robert Taylor et al.•Journal of Biomedical Informatics•2009

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    Open Access•Paul A Harris, Robert Taylor et al.•Journal of Biomedical Informatics•2019

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    Kurt Kroenke, Robert L Spitzer et al.•Journal of General Internal…•2001

  • Treatment adherence in paediatric inflammatory bowel disease

    Open Access•Kevin A Hommel, Shannon Odell et al.•Health & Social Care in the…•2010

Highly citedNo

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