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Evaluating the transition of young adults with osteogenesis imperfecta: a patient-focused prospective study
Lucy Collins1,2,3, Angelina Lim2,4, Sara Alwaheb4
1Department of Endocrinology, Royal Children's Hospital, Parkville, VIC, Australia.
Insights
Patients with Osteogenesis Imperfecta (OI) reported significant challenges during their transition from pediatric to adult care, highlighting a need for improved transition programs and support. Key issues included lack of knowledge and feeling unprepared.
Area of Science:
- Medical transition of care
- Rare genetic disorders
- Chronic condition management
Background:
- Successful transition from pediatric to adult healthcare is crucial for chronic condition management.
- Osteogenesis Imperfecta (OI) is a rare genetic disorder with lifelong implications.
- Current consensus guidelines for OI transition care are lacking.
Purpose of the Study:
- Evaluate an institution's transition program for patients with Osteogenesis Imperfecta (OI).
- Identify strengths and weaknesses of the current OI transition process.
- Gather patient and staff perspectives on transition care.
Main Methods:
- Cross-sectional survey study conducted from April to August 2023.
- Researcher-administered questionnaire to collect data.
- Content analysis used to explore coded questionnaire responses.
Main Results:
- 66 participants included: 64 patients with OI and 2 staff members.
- 35 patients aged 16+ provided transition-specific feedback.
- 74% of eligible patients transferred to adult care; 23% reported no ongoing care.
- Identified weaknesses: lack of knowledge, feeling unprepared, and feeling lost during transition.
Conclusions:
- Participants suggested early introduction of transition care.
- A comprehensive transfer tool and dedicated transition coordinator/clinic were recommended.
- Future work will involve a prospective study to implement these recommendations.
Objectives:
Successful transition from paediatric to adult healthcare is integral in the management of chronic conditions. Osteogenesis imperfecta (OI) is a rare genetic connective tissue disorder affecting the skeleton and several other organ systems, with lifelong implications for clinical management. Consensus guidelines for the transition of patients with OI do not currently exist. We aimed to evaluate our institution's transition program for patients with OI and identify strengths and weaknesses of the current process.
Methods:
Participants were recruited from April to August 2023 for this cross-sectional survey study. Data were collected using a researcher administered questionnaire. Questionnaire responses, coded into positive, negative, and neutral categories, were explored using content analysis.
Results:
66 participants were included: 64 patients with OI and 2 staff members involved in transition care. Of the 64 patients, 35 were aged 16 years and older and able to provide responses specifically evaluating the transition period. Of these 35, 26 (74 %) had been transferred to adult care, with 6 (23 %) reporting no ongoing care. Predominantly, challenges and weaknesses of the transition program were identified; lack of knowledge, feeling-ill prepared and being lost during the transition process.
Conclusions:
Early introduction of transition care, a comprehensive transfer tool, future options for adult care and a transition coordinator/clinic were suggested by participants. Future work involves a prospective study implementing these recommendations.
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