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The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases

Progress in the field of muscular dystrophy (MD) using a multidisciplinary approach based on international standards of care has led to a significant increase in the life expectancy of patients. The challenge of transitioning from pediatric to adult healthcare has been acknowledged for over a decade...

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Autores principales: Lupu, Maria, Ioghen, Mihaela, Perjoc, Radu-Ștefan, Scarlat, Andra-Maria, Vladâcenco, Oana Aurelia, Roza, Eugenia, Epure, Diana Ana-Maria, Teleanu, Raluca Ioana, Severin, Emilia Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296957/
https://www.ncbi.nlm.nih.gov/pubmed/37371191
http://dx.doi.org/10.3390/children10060959
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author Lupu, Maria
Ioghen, Mihaela
Perjoc, Radu-Ștefan
Scarlat, Andra-Maria
Vladâcenco, Oana Aurelia
Roza, Eugenia
Epure, Diana Ana-Maria
Teleanu, Raluca Ioana
Severin, Emilia Maria
author_facet Lupu, Maria
Ioghen, Mihaela
Perjoc, Radu-Ștefan
Scarlat, Andra-Maria
Vladâcenco, Oana Aurelia
Roza, Eugenia
Epure, Diana Ana-Maria
Teleanu, Raluca Ioana
Severin, Emilia Maria
author_sort Lupu, Maria
collection PubMed
description Progress in the field of muscular dystrophy (MD) using a multidisciplinary approach based on international standards of care has led to a significant increase in the life expectancy of patients. The challenge of transitioning from pediatric to adult healthcare has been acknowledged for over a decade, yet it continues to be a last-minute concern. Currently, there is no established consensus on how to evaluate the effectiveness of the transition process. Our study aimed to identify how well patients are prepared for the transition and to determine their needs. We conducted a descriptive, cross-sectional study on 15 patients aged 14 to 21 years. The patients completed a sociodemographic and a Transition Readiness Assessment Questionnaire (TRAQ). We also analyzed the comorbidities of these patients. Our study revealed that only 46.7% of the patients had engaged in a conversation with a medical professional, namely, a child neurologist, about transitioning. A total of 60% of the participants expressed having confidence in their self-care ability. However, the median TRAQ score of 3.6 shows that these patients overestimate themselves. We emphasize the necessity for a slow, personalized transition led by a multidisciplinary team to ensure the continuity of state-of-the-art care from pediatric to adult healthcare services and the achievement of the highest possible quality of life for these patients.
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spelling pubmed-102969572023-06-28 The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases Lupu, Maria Ioghen, Mihaela Perjoc, Radu-Ștefan Scarlat, Andra-Maria Vladâcenco, Oana Aurelia Roza, Eugenia Epure, Diana Ana-Maria Teleanu, Raluca Ioana Severin, Emilia Maria Children (Basel) Article Progress in the field of muscular dystrophy (MD) using a multidisciplinary approach based on international standards of care has led to a significant increase in the life expectancy of patients. The challenge of transitioning from pediatric to adult healthcare has been acknowledged for over a decade, yet it continues to be a last-minute concern. Currently, there is no established consensus on how to evaluate the effectiveness of the transition process. Our study aimed to identify how well patients are prepared for the transition and to determine their needs. We conducted a descriptive, cross-sectional study on 15 patients aged 14 to 21 years. The patients completed a sociodemographic and a Transition Readiness Assessment Questionnaire (TRAQ). We also analyzed the comorbidities of these patients. Our study revealed that only 46.7% of the patients had engaged in a conversation with a medical professional, namely, a child neurologist, about transitioning. A total of 60% of the participants expressed having confidence in their self-care ability. However, the median TRAQ score of 3.6 shows that these patients overestimate themselves. We emphasize the necessity for a slow, personalized transition led by a multidisciplinary team to ensure the continuity of state-of-the-art care from pediatric to adult healthcare services and the achievement of the highest possible quality of life for these patients. MDPI 2023-05-28 /pmc/articles/PMC10296957/ /pubmed/37371191 http://dx.doi.org/10.3390/children10060959 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lupu, Maria
Ioghen, Mihaela
Perjoc, Radu-Ștefan
Scarlat, Andra-Maria
Vladâcenco, Oana Aurelia
Roza, Eugenia
Epure, Diana Ana-Maria
Teleanu, Raluca Ioana
Severin, Emilia Maria
The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases
title The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases
title_full The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases
title_fullStr The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases
title_full_unstemmed The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases
title_short The Importance of Implementing a Transition Strategy for Patients with Muscular Dystrophy: From Child to Adult—Insights from a Tertiary Centre for Rare Neurological Diseases
title_sort importance of implementing a transition strategy for patients with muscular dystrophy: from child to adult—insights from a tertiary centre for rare neurological diseases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296957/
https://www.ncbi.nlm.nih.gov/pubmed/37371191
http://dx.doi.org/10.3390/children10060959
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