Planned transition of adolescent patients with inflammatory bowel disease results in higher remission rates

Caroline Otto, András Tárnok, Adrienn Erős, Zsolt Szakács, A. Vincze, Nelli Farkas, Patricia Sarlós

Research output: Contribution to journalArticle

Abstract

Purpose: To evaluate the effect of our current transition process on clinical outcomes in adolescent patients with inflammatory bowel diseases (IBD). Design and methods: Two groups of patients with IBD diagnosed in pediatric care were compared retrospectively: Group A patients did not attend the transition process, while Group B patients entered the planned transition service. Outcomes at 1-year after transfer to adult care were evaluated. Results: Forty-five patients with IBD diagnosed under the age of 18 years were identified of whom 35 had Crohn's disease and 10 had ulcerative colitis. Twenty-four patients were in Group A (without transition), and 21 patients in Group B (with at least one planned transition visit). Mean age at diagnosis was 15.1 ± 2.2 and 13.7 ± 3.0 years (p = 0.086), respectively. There were no significant differences in disease duration before transfer, Montreal classification at diagnosis, body mass index, anti-TNF therapy usage, and disease status at transfer between the two groups. A significantly higher number of Group B patients were in remission at 12 months after transfer when compared to patients in Group A (11 vs. 18, respectively, p = 0.037). There was a significant difference between groups regarding the number of scheduled visits within the examined period (9 vs. 16, p = 0.011, respectively). Conclusions: Planned transition visits resulted in higher disease remission rate at 1-year follow-up after transfer from pediatric to adult health care system in adolescent patients with IBD. Practice implication: Well-established transition programs in IBD are needed.

Original languageEnglish
JournalJournal of Pediatric Nursing
DOIs
Publication statusPublished - Jan 1 2019

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Patient Transfer
Inflammatory Bowel Diseases
Transition to Adult Care
Group Processes
Ulcerative Colitis
Crohn Disease
Body Mass Index
Pediatrics
Delivery of Health Care

Keywords

  • Adolescent health
  • Inflammatory bowel diseases
  • Remission
  • Transfer
  • Transitional care

ASJC Scopus subject areas

  • Pediatrics

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Planned transition of adolescent patients with inflammatory bowel disease results in higher remission rates. / Otto, Caroline; Tárnok, András; Erős, Adrienn; Szakács, Zsolt; Vincze, A.; Farkas, Nelli; Sarlós, Patricia.

In: Journal of Pediatric Nursing, 01.01.2019.

Research output: Contribution to journalArticle

Otto, Caroline ; Tárnok, András ; Erős, Adrienn ; Szakács, Zsolt ; Vincze, A. ; Farkas, Nelli ; Sarlós, Patricia. / Planned transition of adolescent patients with inflammatory bowel disease results in higher remission rates. In: Journal of Pediatric Nursing. 2019.
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