[Managing the transition from childhood to adulthood in people with chronic disease]

Managing the transition from childhood to adulthood in people with chronic disease. In young people with chronic condition, the transition from childhood to adulthood is a double challenge: challenge of adolescent development, impaired by disease or disability, and challenge of transition from pediatric to adult healthcare. To avoid discontinuity of care, transition must begin early (12-13 years) around personalized objectives, and be supported until transfer in adult care, planed when the adolescent is ready and clinically stable. In a perspective of empowerment, education of the young patient includes the self-management of the disease but also of its impact on life in young adults (affective aspects, professional life, hobbies, general health…). Attention should be paid on coordination between pediatric and adult care.