Problems of patients with cystic fibrosis during transition to adulthood
Violetta Opoka-Winiarska1, Szczepan Cofta, Henryk Mazurek
1Department of Paediatric Pulmonology and Rheumatology, Medical University of Lublin, Poland. ftpulmza@sum.edu.pl.
Insights
Cystic fibrosis (CF) care requires lifelong management, focusing on a crucial transition from pediatric to adult internal medicine. Specialized care centers improve longevity and quality of life for adult CF patients.
Area of Science:
- Pulmonology
- Internal Medicine
- Pediatrics
Background:
- Cystic fibrosis (CF) is a lifelong genetic disorder requiring continuous medical management.
- A significant mortality rate exists for CF patients before reaching adulthood.
- Effective transition from pediatric to adult care is critical for CF patient outcomes.
Purpose of the Study:
- To review essential elements of lifelong care for cystic fibrosis patients.
- To highlight the importance of a structured transition process from pediatric to adult internal medicine.
- To emphasize the need for specialized adult care centers for CF exacerbations.
Main Methods:
- Literature review on cystic fibrosis patient care pathways.
- Analysis of transition challenges from pediatric to adult healthcare settings.
- Examination of the impact of specialized CF care teams on patient outcomes.
Main Results:
- Successful transition requires more than medical record transfer; it necessitates patient preparation and education.
- Adult CF patients benefit significantly from specialized care centers, improving survival and quality of life.
- While pediatric CF care transition is addressed, adult CF care models require further development.
Conclusions:
- Lifelong, specialized care is paramount for individuals with cystic fibrosis.
- A well-prepared transition to adult internal medicine and access to expert centers are key to optimizing CF patient health.
- Further development of adult-focused CF care strategies is essential.
Abstract:
The proper care of cystic fibrosis patients extends over their lifetime. More than half of the children with the disease die before adulthood. An important element in the patient's care is a time of transition from a paediatric to the care of an internist and the patient's acceptance of this necessity. Transition from paediatric care to an internist should be adequately prepared. It is not only a question of transfer of medical records, but also careful preparation of patients for such transition. The patients expect not only continuity of care but also the introduction to the management with the disease. The creation of a base for specialist hospital treatment for exacerbation of the disease at the adulthood is an important element in the care of these patients. The problem has been solved in the children group, but is still waiting for solution in adults with cystic fibrosis. It has been proven that care in the centres carried out by a specialized team ensures longer life and better quality of life of these patients. The paper is an overview of these two important elements of care of adults with cystic fibrosis.
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