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Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play

In the field of medical care, successful transition from pediatric-centered to adult-oriented healthcare can provide a sense of continuity in the development of youth, and prepare them to accept responsibility for and manage their own chronic kidney condition in complete autonomy. The so-called tran...

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Autores principales: Scarponi, Dorella, Cammaroto, Viviana, Pasini, Andrea, La Scola, Claudio, Mencarelli, Francesca, Bertulli, Cristina, Busutti, Marco, La Manna, Gaetano, Pession, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8488194/
https://www.ncbi.nlm.nih.gov/pubmed/34616697
http://dx.doi.org/10.3389/fped.2021.689758
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author Scarponi, Dorella
Cammaroto, Viviana
Pasini, Andrea
La Scola, Claudio
Mencarelli, Francesca
Bertulli, Cristina
Busutti, Marco
La Manna, Gaetano
Pession, Andrea
author_facet Scarponi, Dorella
Cammaroto, Viviana
Pasini, Andrea
La Scola, Claudio
Mencarelli, Francesca
Bertulli, Cristina
Busutti, Marco
La Manna, Gaetano
Pession, Andrea
author_sort Scarponi, Dorella
collection PubMed
description In the field of medical care, successful transition from pediatric-centered to adult-oriented healthcare can provide a sense of continuity in the development of youth, and prepare them to accept responsibility for and manage their own chronic kidney condition in complete autonomy. The so-called transition process requires the presence of some basic aspects: a multidisciplinary team, which acts as a bridge between child and adult services; a comprehensive clinical, cognitive, psychological, and social change for the young people; the involvement of family and caregivers. Within the framework of transition and chronicity during the developmental age, we selected international papers explaining models which agreed on some important steps in the transition process, although many differences can be observed between different countries. In fact, in Europe, the situation appears to be heterogeneous as regards certain aspects: the written transition plan, the educational programmes, the timing of transfer to adult services, the presence of a transition coordinator, a dedicated off-site transition clinic. We then analyzed some studies focusing on patients with renal diseases, including the first to contain a standardized protocol for transition which was launched recently in the USA, and which seems to have already achieved important positive, although limited, results. In Italy, the issue of transition is still in its infancy, however important efforts in the management of chronic kidney disease have already been initiated in some regions, including Emila Romagna, which gives us hope for the future of many young people.
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spelling pubmed-84881942021-10-05 Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play Scarponi, Dorella Cammaroto, Viviana Pasini, Andrea La Scola, Claudio Mencarelli, Francesca Bertulli, Cristina Busutti, Marco La Manna, Gaetano Pession, Andrea Front Pediatr Pediatrics In the field of medical care, successful transition from pediatric-centered to adult-oriented healthcare can provide a sense of continuity in the development of youth, and prepare them to accept responsibility for and manage their own chronic kidney condition in complete autonomy. The so-called transition process requires the presence of some basic aspects: a multidisciplinary team, which acts as a bridge between child and adult services; a comprehensive clinical, cognitive, psychological, and social change for the young people; the involvement of family and caregivers. Within the framework of transition and chronicity during the developmental age, we selected international papers explaining models which agreed on some important steps in the transition process, although many differences can be observed between different countries. In fact, in Europe, the situation appears to be heterogeneous as regards certain aspects: the written transition plan, the educational programmes, the timing of transfer to adult services, the presence of a transition coordinator, a dedicated off-site transition clinic. We then analyzed some studies focusing on patients with renal diseases, including the first to contain a standardized protocol for transition which was launched recently in the USA, and which seems to have already achieved important positive, although limited, results. In Italy, the issue of transition is still in its infancy, however important efforts in the management of chronic kidney disease have already been initiated in some regions, including Emila Romagna, which gives us hope for the future of many young people. Frontiers Media S.A. 2021-09-20 /pmc/articles/PMC8488194/ /pubmed/34616697 http://dx.doi.org/10.3389/fped.2021.689758 Text en Copyright © 2021 Scarponi, Cammaroto, Pasini, La Scola, Mencarelli, Bertulli, Busutti, La Manna and Pession. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Scarponi, Dorella
Cammaroto, Viviana
Pasini, Andrea
La Scola, Claudio
Mencarelli, Francesca
Bertulli, Cristina
Busutti, Marco
La Manna, Gaetano
Pession, Andrea
Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play
title Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play
title_full Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play
title_fullStr Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play
title_full_unstemmed Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play
title_short Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play
title_sort multidisciplinarity in transition pathways for patients with kidney disease: the current state of play
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8488194/
https://www.ncbi.nlm.nih.gov/pubmed/34616697
http://dx.doi.org/10.3389/fped.2021.689758
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