Transitioning from paediatric to adult rheumatological healthcare: English summary of the Japanese Transition Support

Masaaki Mori1, Shinji Akioka2, Toru Igarashi3

  • 1Department of Lifetime Clinical Immunology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Modern Rheumatology
|December 17, 2021
PubMed

Insights

This study introduces a guide for adult rheumatologists caring for patients transitioning from pediatric care. It addresses key clinical questions for improved transitional support in chronic rheumatic diseases.

Area of Science:

  • Rheumatology
  • Pediatrics
  • Healthcare Transition

Background:

  • International attention is focused on healthcare transitions for pediatric patients aging into adult care.
  • Approximately 1000 Japanese patients with childhood-onset chronic rheumatic diseases transition to adult care annually.
  • Effective transition requires collaboration between pediatric and adult healthcare providers.

Purpose of the Study:

  • To propose a guide for adult rheumatologists managing patients transitioning from pediatric care.
  • To provide essential knowledge for physicians in adult internal medicine and orthopaedics involved in transitional care.
  • To inform policy and strategies for optimal transitional care outcomes in rheumatic diseases.

Main Methods:

  • A guide was developed with input from the Japan College of Rheumatology and the Pediatric Rheumatology Association of Japan.
  • The guide structure involves adult caregivers posing clinical questions and pediatric caregivers compiling transition plans.
  • Consultation with professional organizations ensured expert review and approval.

Main Results:

  • The guide focuses on common transitional support features across various rheumatic diseases.
  • It aims to equip non-pediatric rheumatologists with knowledge for managing transitioned patients.
  • The outcome is a collaborative framework for addressing transitional care needs.

Conclusions:

  • The developed guide offers a structured approach to transitional care for rheumatic diseases.
  • It facilitates knowledge transfer and collaboration between pediatric and adult healthcare teams.
  • Implementation of this guide can enhance care continuity and patient outcomes during healthcare transitions.

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