Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses.

Autor: García-Rodríguez F; Department of Pediatrics, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico., Raygoza-Cortez K; Plataforma INVEST Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico), Universidad Autónoma de Nuevo León, Monterrey, 64460, México., Moreno-Hernandez L; Department of Pediatrics, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico., García-Pérez R; Department of Pediatrics, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico., Garza Lopez LE; Plataforma INVEST Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico), Universidad Autónoma de Nuevo León, Monterrey, 64460, México., Arana-Guajardo AC; Servicio de Reumatología, Instituto de Medicina Interna. Escuela Nacional de Medicina Sistema Tec Salud, Monterrey, Mexico., Jáquez-Quintana JO; Gastroenterology Service and Department of Internal Medicine, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico., Villarreal-Treviño AV; Department of Pediatrics, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico., de la O-Cavazos ME; Department of Pediatrics, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico., Rubio-Pérez N; Department of Pediatrics, School of Medicine and University Hospital 'Dr. José E. González', Universidad Autónoma de Nuevo León, Av Madero Y Gonzalitos S/N, Col. Mitras Centro, 64460, Monterrey, Mexico. nadinaangel@hotmail.com.
Jazyk: angličtina
Zdroj: Pediatric rheumatology online journal [Pediatr Rheumatol Online J] 2022 Feb 17; Vol. 20 (1), pp. 15. Date of Electronic Publication: 2022 Feb 17.
DOI: 10.1186/s12969-022-00670-1
Abstrakt: Background: Patients with juvenile chronic inflammatory systemic diseases (jCID) are vulnerable to many circumstances when transitioning to adult-centered healthcare; this increases the burden of disease and worsen their quality of life.
Methods: MEDLINE, Embase, Web of Science and Scopus were searched from inception to March 16 th , 2021. We included observational, randomized controlled trials and quasi-experimental studies that evaluated a transitional care program for adolescents and young adults with jCIDs. We extracted information regarding health-related quality of life, disease activity, drop-out rates, clinical attendance rates, hospital admission rates, disease-related knowledge, surgeries performed, drug toxicity and satisfaction rates.
Results: Fifteen studies met our inclusion criteria. The implementation of transition programs showed a reduction on hospital admission rates for those with transition program (OR 0.28; 95% CI 0.13 to 0.61; I 2 = 0%; p = 0.97), rates of surgeries performed (OR 0.26; 95% CI 0.12 to 0.59; I 2 = 0%; p = 0.50) and drop-out rates from the adult clinic (OR 0.23; 95% CI 0.12 to 0.46; I 2 = 0%; p = 0.88). No differences were found in other outcomes.
Conclusion: The available body of evidence supports the implementation of transition programs as it could be a determining factor to prevent hospital admission rates, surgeries needed and adult clinic attendance rates.
(© 2022. The Author(s).)
Databáze: MEDLINE
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