Systematic Review: Practices and Programs in Inflammatory Bowel Disease Transition Care
Patrick Chan1,2, Jack McNamara1,3, Angharad Vernon-Roberts4
1Department of Gastroenterology and Hepatology, Liverpool Hospital, Liverpool, New South Wales, Australia.
Inflammatory Bowel Diseases
|August 28, 2024
Summary
Structured transition programs improve outcomes for adolescents with inflammatory bowel disease (IBD). However, current practices lack standardization, necessitating further research for optimal care models.
Area of Science:
- Pediatric Gastroenterology
- Adolescent Medicine
- Health Services Research
Background:
- Transitioning adolescents with inflammatory bowel disease (IBD) to adult care presents significant challenges.
- Structured transition programs are increasingly adopted, but optimal formats require clarification.
Purpose of the Study:
- To systematically review structured transition programs for adolescents with IBD.
- To assess the impact of these programs and their components on disease-specific and transition-related outcomes.
Main Methods:
- A systematic review was conducted across four major databases (PubMed, CINAHL, CENTRAL, EMBASE) up to March 2023.
- Studies evaluating structured transition programs or interventions measuring transition/disease outcomes were included per PRISMA guidelines.
Main Results:
- 29 studies were included, with 21 reporting structured programs and 8 discrete interventions.
- Programs improved knowledge, self-efficacy, adherence, and readiness; interventions reduced relapse/admission rates and corticosteroid use.
- Evidence quality was limited by heterogeneity and methodological issues.
Conclusions:
- Structured programs benefit adolescent IBD patients' transition and medical outcomes.
- Significant variation exists in current practices, highlighting the need for a standardized transition model.
- Further research is crucial for developing evidence-based guidelines and care models.
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