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Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key?
The incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a li...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333582/ https://www.ncbi.nlm.nih.gov/pubmed/30671371 http://dx.doi.org/10.5223/pghn.2019.22.1.28 |
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author | Kim, Jeongseok Ye, Byong Duk |
author_facet | Kim, Jeongseok Ye, Byong Duk |
author_sort | Kim, Jeongseok |
collection | PubMed |
description | The incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a lifelong impact, successful transition from pediatric to adult care is important to maintain the continuity of care. Furthermore, successful transition facilitates appropriate development and psychosocial well-being among patients, as well as comprehensive and harmonious healthcare delivery amongst stakeholders. However, there are various obstacles related to patients, family, providers, and organizations that interfere with successful transition. Successful transition requires a flexible and tailored plan that is made according to the patient's developmental abilities and situation. This plan should be established through periodic interviews with the patient and family and through close collaboration with other care providers. Through a stepwise approach to the transition process, patients' knowledge and self-management skills can be improved. After preparation for the transition is completed and the obstacles are overcome, patients can be gradually moved to adult care. Finally, successful transition can increase patients' adherence to therapy, maintain the appropriate health status, improve patients' self-management, and promote self-reliance among patients. |
format | Online Article Text |
id | pubmed-6333582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition |
record_format | MEDLINE/PubMed |
spelling | pubmed-63335822019-01-22 Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? Kim, Jeongseok Ye, Byong Duk Pediatr Gastroenterol Hepatol Nutr Review Article The incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a lifelong impact, successful transition from pediatric to adult care is important to maintain the continuity of care. Furthermore, successful transition facilitates appropriate development and psychosocial well-being among patients, as well as comprehensive and harmonious healthcare delivery amongst stakeholders. However, there are various obstacles related to patients, family, providers, and organizations that interfere with successful transition. Successful transition requires a flexible and tailored plan that is made according to the patient's developmental abilities and situation. This plan should be established through periodic interviews with the patient and family and through close collaboration with other care providers. Through a stepwise approach to the transition process, patients' knowledge and self-management skills can be improved. After preparation for the transition is completed and the obstacles are overcome, patients can be gradually moved to adult care. Finally, successful transition can increase patients' adherence to therapy, maintain the appropriate health status, improve patients' self-management, and promote self-reliance among patients. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2019-01 2019-01-10 /pmc/articles/PMC6333582/ /pubmed/30671371 http://dx.doi.org/10.5223/pghn.2019.22.1.28 Text en Copyright © 2019 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Kim, Jeongseok Ye, Byong Duk Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? |
title | Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? |
title_full | Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? |
title_fullStr | Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? |
title_full_unstemmed | Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? |
title_short | Successful Transition from Pediatric to Adult Care in Inflammatory Bowel Disease: What is the Key? |
title_sort | successful transition from pediatric to adult care in inflammatory bowel disease: what is the key? |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333582/ https://www.ncbi.nlm.nih.gov/pubmed/30671371 http://dx.doi.org/10.5223/pghn.2019.22.1.28 |
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