Related Experiment Video

Updated: Jun 16, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
07:37

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice

Published on: June 6, 2025

Three Decades of Health Care Transition in Rheumatology: Progress, Challenges, and Future Directions

Sarah D Bayefsky1,2, Joyce C Chang3

  • 1Hackensack Meridian School of Medicine, Nutley, New Jersey.

Arthritis Care & Research
|June 15, 2026
PubMed

Insights

Pediatric rheumatology patients need better health care transition strategies to manage chronic conditions into adulthood. This review explores transition needs, interventions, and future directions for adolescents and young adults with rheumatic diseases.

Area of Science:

  • Pediatric Rheumatology
  • Adolescent Health
  • Healthcare Transition

Background:

  • Pediatric rheumatology advances have increased survival, leading to more young adults needing lifelong care.
  • Effective strategies are crucial for adolescents and young adults (AYA) to manage rheumatic diseases independently.
  • Transitioning from pediatric to adult healthcare models presents unique challenges for AYA with rheumatic diseases.

Purpose of the Study:

  • To provide a historical overview of healthcare transition in rheumatology.
  • To review outcomes and needs of AYA with pediatric-onset rheumatic diseases during transition.
  • To describe interventions aimed at improving healthcare transition for this population.

Main Methods:

  • Narrative literature review.
  • Analysis of seminal literature on healthcare transition outcomes and needs.
  • Synthesis of interventions for AYA with pediatric rheumatic diseases.

Main Results:

  • The review highlights the growing need for systematic approaches to healthcare transition.
  • Identified transition-related needs and outcomes for AYA with pediatric rheumatic diseases.
  • Described various interventions designed to support AYA during health care transition.

Conclusions:

  • Effective healthcare transition is critical for AYA with pediatric rheumatic diseases to achieve long-term health management.
  • Further research is needed to address knowledge gaps and optimize transition processes.
  • Developing and implementing targeted interventions can improve outcomes for AYA navigating adult healthcare systems.

Related Concept Videos

Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...