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Multidisciplinarity in Transition Pathways for Patients With Kidney Disease: The Current State of Play

Authors :
Marco Busutti
Francesca Mencarelli
Gaetano La Manna
Andrea Pasini
Viviana Cammaroto
Andrea Pession
Dorella Scarponi
Claudio La Scola
Cristina Bertulli
Scarponi D.
Cammaroto V.
Pasini A.
La Scola C.
Mencarelli F.
Bertulli C.
Busutti M.
La Manna G.
Pession A.
Source :
Frontiers in Pediatrics, Vol 9 (2021), Frontiers in Pediatrics
Publication Year :
2021
Publisher :
Frontiers Media S.A., 2021.

Abstract

In the field of medical care, successful transition from pediatric-centered to adult-oriented healthcare can provide a sense of continuity in the development of youth, and prepare them to accept responsibility for and manage their own chronic kidney condition in complete autonomy. The so-called transition process requires the presence of some basic aspects: a multidisciplinary team, which acts as a bridge between child and adult services; a comprehensive clinical, cognitive, psychological, and social change for the young people; the involvement of family and caregivers. Within the framework of transition and chronicity during the developmental age, we selected international papers explaining models which agreed on some important steps in the transition process, although many differences can be observed between different countries. In fact, in Europe, the situation appears to be heterogeneous as regards certain aspects: the written transition plan, the educational programmes, the timing of transfer to adult services, the presence of a transition coordinator, a dedicated off-site transition clinic. We then analyzed some studies focusing on patients with renal diseases, including the first to contain a standardized protocol for transition which was launched recently in the USA, and which seems to have already achieved important positive, although limited, results. In Italy, the issue of transition is still in its infancy, however important efforts in the management of chronic kidney disease have already been initiated in some regions, including Emila Romagna, which gives us hope for the future of many young people.

Details

Language :
English
ISSN :
22962360
Volume :
9
Database :
OpenAIRE
Journal :
Frontiers in Pediatrics
Accession number :
edsair.doi.dedup.....ffb1bd5b863bfb22f6f51a06f790de70
Full Text :
https://doi.org/10.3389/fped.2021.689758/full