Transition care in patients with IBD: The pediatric and the adult gastroenterologist's perspective. Results from a national survey.

Autor: Castiglione F; Department of Clinical Medicine and Surgery, 'Federico II' University of Naples, Naples, Italy., Scarallo L; Gastroenterology and Nutrition Unit, Meyer IRCCS children's Hospital, Florence, Italy; Department NEUROFARBA, University of Florence, Italy., Nardone OM; Gastroenterology, Department of Public Health, University Federico II of Naples., Aloi M; Department of Maternal and Child Health, Pediatric Gastroenterology and Liver Unit, Umberto I Hospital, Sapienza University of Rome, Rome, Italy., Alvisi P; Pediatric Gastroenterology Unit, Maggiore Hospital, 40133 Bologna, Italy., Armuzzi A; IBD Center, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy., Arrigo S; Pediatric Gastroenterology and Endoscopy Unit, IRCCS Giannina Gaslini, Genova, Italy., Bodini G; IRCCS Policlinico San Martino, University of Genova, Genova, Italy., Calabrese E; Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy., Ceccarelli L; Gastrointestinal Unit, Department of Translational Sciences and New Technologies in Medicine and Surgery, University of Pisa, 56010, Pisa, Italy., Fries W; Inflammatory Bowel Disease Unit, Dept. of Clinical and Experimental Medicine, University of Messina, Messina; Italy., Marseglia A; Fondazione IRCCS Casa Sollievo della Sofferenza, Division of Pediatrics, San Giovanni Rotondo, Italy., Martinelli M; Department of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy., Milla M; IBD Referral Center, Gastroenterology Unit, Azienda Ospedaliero-Universitaria Careggi, Florence., Orlando A; IBD Unit, 'Villa Sofia-Cervello' Hospital, Palermo, Italy., Rispo A; Department of Clinical Medicine and Surgery, 'Federico II' University of Naples, Naples, Italy., Rizzello F; IBD Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy; DIMEC, University of Bologna, Italy., Romano C; Pediatric Gastroenterology and Cystic Fibrosis Unit, University of Messina, Italy., Caprioli F; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico di Milano, Milan, Italy., Lionetti P; Gastroenterology and Nutrition Unit, Meyer IRCCS children's Hospital, Florence, Italy; Department NEUROFARBA, University of Florence, Italy. Electronic address: paolo.lionetti@unifi.it.
Jazyk: angličtina
Zdroj: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver [Dig Liver Dis] 2024 May; Vol. 56 (5), pp. 802-809. Date of Electronic Publication: 2023 Dec 10.
DOI: 10.1016/j.dld.2023.10.007
Abstrakt: Background: Transition is a crucial process in the care of IBD patients, although it remains largely heterogeneous.
Aims: To provide an overview of the transition process in Italy and to investigate the perspective of the paediatric and adult physicians.
Methods: An online survey was developed by the Italian Group for Inflammatory Bowel Diseases (IG-IBD) and the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition (SIGENP).
Results: 104 physicians (62 paediatric and 42 adult gastroenterologists) participated to the survey. The disease status was ranked with the highest priority among the key elements of the transition process. The age of the patient was perceived with a higher priority by paediatric gastroenterologists than by adult ones (p < 0.01). In most cases, the transition was organized through one or more joint meetings. Only less than 25 % of responders reported to involve other professions during transition. The struggle in leaving paediatric setting was perceived as the main obstacle to an effective transition process. Paediatric IBD gastroenterologists ranked the struggle in leaving the paediatric setting and the attending physician as higher critical point than adult gastroenterologists.
Conclusions: The current survey provided a snapshot of the IBD transition process in Italy. The present findings highlight the need to embed transitional care in healthcare policy.
Competing Interests: Conflict of interest None.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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