Transition of care in inborn errors of immunity.

Autor: Tadros S; Department of Immunology, Royal Free London NHS Foundation Trust.; University College London Institute of Immunity and Transplantation, London, UK., Burns SO; Department of Immunology, Royal Free London NHS Foundation Trust.; University College London Institute of Immunity and Transplantation, London, UK.
Jazyk: angličtina
Zdroj: Current opinion in allergy and clinical immunology [Curr Opin Allergy Clin Immunol] 2023 Dec 01; Vol. 23 (6), pp. 455-460. Date of Electronic Publication: 2023 Oct 05.
DOI: 10.1097/ACI.0000000000000948
Abstrakt: Purpose of Review: This review outlines the principles of transition, summarizes current information about transition practices in inborn errors of immunity (IEI) and highlights general and specific considerations for transition of patients with these conditions.
Recent Findings: Recent surveys demonstrate the variability in access to and transition practices in IEI. Key challenges of transition in IEI from the perspective of healthcare professionals include lack of adult subspecialists, lack of access to holistic care and fragmentation of adult services. Limited research focused on IEI patient and carer perspectives highlight information gaps, poor coordination and difficulty adapting to adult healthcare structures as important challenges for smooth transition.
Summary: Local policies and practices for transition in IEI are highly variable with limited assessment of outcomes or patient experience. There is a need for IEI-focused transition research and for development of national and international consensus statements to guide improved transition in IEI.
(Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE