S0816 Pediatric to Adult IBD Patient Care: A Comparison of Outcomes Between Transitional Clinic Care and Traditional Clinic Care

Outcomes in Patients with Inflammatory Bowel Disease Transitioning from Pediatric to Adult Care: A Scoping Review

“…Nineteen studies examined health care utilization as an outcome of transition (16–18,20,21,22–34). The most common measures was whether the young adult required IBD‐related hospitalization (16,17,20,22–29,34) and whether there was a need for surgical intervention (17,20,22–24,29).…”

“…These studies mainly measured outcomes at 1 year (17,(26)(27)(28) or within 2 years (16,24,29) after transfer. These studies found that compared to patients who did not attend a transition clinic, those who did had lower hospital admissions (29% vs 61%; mean of 0.16 vs 0.51; 20% vs 50%), fewer appointment no-shows (29% vs 78%; mean of 0.36 vs 0.89), and were less likely to require surgical intervention (25% vs 46%; 13% vs 46%) (16,24,25,28,29). Patients in non-clinic groups were also less likely to be steroid free (vs 41% vs 71%), more likely to require steroid initiation (mean dose of 0.88 vs 0.50), develop intestinal complications (21% vs 64%), use biologics [6.7% (year 1), 10% (year 2) vs 50% (year 1), 47.8% (year 2)], and have less disease knowledge (e.g., medication names, doses, and side effects) (16,(25)(26)(27)29).…”

“…Nineteen studies examined health care utilization as an outcome of transition (16)(17)(18)20,21,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34). The most common measures was whether the young adult required IBD-related hospitalization (16,17,20,(22)(23)(24)(25)(26)(27)(28)(29)34) and whether there was a need for surgical intervention (17,20,(22)(23)(24)29). Procedures such as diagnostic imaging and associated radiation exposure were measured (17,22,24,(28)(29)(30); as well as the need for endoscopies (17,22,23,29,32).…”