Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses
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 searche...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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University of Chicago
2022
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| Online Access: | http://eprints.uanl.mx/23720/1/23720.pdf |
| _version_ | 1824416987006107648 |
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| author | García Rodríguez, Fernando Raygoza Cortez, Karina Moreno Hernández, Lesli Michel García Pérez, Rodrigo Garza López, Leticia Elizabeth Arana Guajardo, Ana Cecilia Jáquez Quintana, Joel Omar Villarreal Treviño, Ana Victoria De la O Cavazos, Manuel Enrique Rubio Pérez, Nadina |
| author_facet | García Rodríguez, Fernando Raygoza Cortez, Karina Moreno Hernández, Lesli Michel García Pérez, Rodrigo Garza López, Leticia Elizabeth Arana Guajardo, Ana Cecilia Jáquez Quintana, Joel Omar Villarreal Treviño, Ana Victoria De la O Cavazos, Manuel Enrique Rubio Pérez, Nadina |
| author_sort | García Rodríguez, Fernando |
| collection | Repositorio Institucional |
| description | 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 16th, 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. |
| format | Article |
| id | eprints-23720 |
| institution | UANL |
| language | English |
| publishDate | 2022 |
| publisher | University of Chicago |
| record_format | eprints |
| spelling | eprints-237202022-08-18T20:20:31Z http://eprints.uanl.mx/23720/ Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses García Rodríguez, Fernando Raygoza Cortez, Karina Moreno Hernández, Lesli Michel García Pérez, Rodrigo Garza López, Leticia Elizabeth Arana Guajardo, Ana Cecilia Jáquez Quintana, Joel Omar Villarreal Treviño, Ana Victoria De la O Cavazos, Manuel Enrique Rubio Pérez, Nadina RJ Pediatría 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 16th, 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. University of Chicago 2022 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/23720/1/23720.pdf http://eprints.uanl.mx/23720/1.haspreviewThumbnailVersion/23720.pdf García Rodríguez, Fernando y Raygoza Cortez, Karina y Moreno Hernández, Lesli Michel y García Pérez, Rodrigo y Garza López, Leticia Elizabeth y Arana Guajardo, Ana Cecilia y Jáquez Quintana, Joel Omar y Villarreal Treviño, Ana Victoria y De la O Cavazos, Manuel Enrique y Rubio Pérez, Nadina (2022) Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses. Pediatric Rheumatology, 20 (1). pp. 1-17. ISSN 1546-0096 http://doi.org/10.1186/s12969-022-00670-1 doi:10.1186/s12969-022-00670-1 |
| spellingShingle | RJ Pediatría García Rodríguez, Fernando Raygoza Cortez, Karina Moreno Hernández, Lesli Michel García Pérez, Rodrigo Garza López, Leticia Elizabeth Arana Guajardo, Ana Cecilia Jáquez Quintana, Joel Omar Villarreal Treviño, Ana Victoria De la O Cavazos, Manuel Enrique Rubio Pérez, Nadina Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses |
| title_full | Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses |
| title_fullStr | Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses |
| title_full_unstemmed | Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses |
| title_short | Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses |
| title_sort | outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases systematic review and meta analyses |
| topic | RJ Pediatría |
| url | http://eprints.uanl.mx/23720/1/23720.pdf |
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