Barriers to transition care in inflammatory bowel disease: a survey of adult and paediatric gastroenterologists in the UK

Sebastian, Stelvin; Jenkins, Huw; Arnott, I.; Croft, Nick; Ahmad, Tariq; McCartney, S; Russell, R. K.; Lindsay, JO

doi:10.1136/gut.2011.239301.455

Cited by 3 publications

(1 citation statement)

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“…While UK and European reviews of transitional care in IBD have led to the recent publication of consensus guidelines for clinical practice (1,24), there remain little published UK-specific data on clinical outcomes of structured transition services for patients with IBD (25)(26)(27).…”

Section: Discussionmentioning

confidence: 99%

Benefits of Structured Pediatric to Adult Transition in Inflammatory Bowel Disease

McCartney

Lindsay

Russell

et al. 2021

J. pediatr. gastroenterol. nutr.

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Objective: To evaluate the impact of structured transition from pediatric to adult inflammatory bowel disease (IBD) services on objective patient outcomes, including disease flares, admission rates, and healthcare resource use. Methods: A retrospective observational study in 11 United Kingdom gastroenterology centers. Transition patients attended ≥2 visits to the gastroenterology service with both pediatric and adult personnel jointly present; non-transition patients transferred to adult services without joint visits. Data were collected from medical records for the 12-month periods before and after the date of the first visit involving adult IBD services (index visit). Results: A total of 129 patients were included: 95 transition patients and 34 non-transition patients. In the 12 months post-index visit, transition patients had fewer disease flares ( P = 0.05), were more likely to be steroid-free (71% vs 41%, P < 0.05), and were less likely to have an emergency department visit leading to hospital admission (5% vs 18%, P < 0.05). During this period, the mean estimated overall cost of care per patient was £1644.22 in the transition group and £1827.32 in the non-transition group ( P = 0.21). Conclusion: Structured transition from pediatric to adult IBD care services was associated with positive and cost-neutral outcomes in patients with pediatric IBD.

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