Life at the interface: adults with "pediatric" disorders of the nervous system

Nina F Schor1

  • 1Departments of Pediatrics, Neurology, and Neurobiology & Anatomy, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Annals of Neurology
|April 12, 2013
PubMed

Insights

Pediatric successes have increased patient longevity, creating more adults with childhood neurological conditions. Medical training must evolve to support their lifelong health needs and promote independence.

Area of Science:

  • Neurology
  • Pediatrics
  • Health Services Research

Background:

  • Pediatric advancements have significantly increased survival rates for individuals with congenital and developmental neurological disorders over the past two decades.
  • This success has led to a growing population of adults with long-term effects from childhood diseases and treatments.
  • There is a critical need to address the unique medical, psychological, and social requirements of this expanding demographic.

Purpose of the Study:

  • To highlight the importance of physician training for the transition of pediatric patients with special healthcare needs to adulthood.
  • To emphasize the need for research into the specific needs of this population and optimal educational strategies for physicians and families.

Main Methods:

  • This study is a review and synthesis of current trends in pediatric healthcare and neurology.
  • It analyzes the implications of increased patient longevity on healthcare systems and training programs.
  • The study emphasizes the need for health services and education research.

Main Results:

  • Increased longevity in pediatric neurology patients presents new challenges for adult healthcare.
  • Existing medical and social support systems are often inadequate for adults with lifelong neurological conditions.
  • There is a gap in specialized training for physicians managing this population.

Conclusions:

  • Residencies and subspecialty fellowships must incorporate training for the transition of care for patients with special healthcare needs.
  • Further research is essential to define the needs of this growing adult population.
  • Empowering patients and families through education is key to maximizing independence and quality of life.

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