Evidence map›Paper›PMID 27150188›Full record

SynthesisBMJ open2016

Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review.

Jasmin Bhawra, Alene Toulany, Eyal Cohen, Charlotte Moore Hepburn, Astrid Guttmann

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Review
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  6. Article
  7. Exploring Patient Understandings of Navigation Services Within Alberta's Healthcare System: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  8. Transitioning from paediatric to adult healthcare: Exploring the practices and experiences of care providers.Journal of child health care : for professionals working with children in the hospital and community · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
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  18. Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jasmin BhawraDivision of Paediatric Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Alene ToulanyDivision of Adolescent Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada.
Eyal CohenDivision of Paediatric Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Charlotte Moore HepburnDivision of Paediatric Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada.
Astrid GuttmannDivision of Paediatric Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine effective interventions to improve primary care provider involvement in transitioning youth with chronic conditions from paediatric to adult care.

designSystematic review. Multiple electronic databases were searched including Ovid MEDLINE, EMBASE and Web of Science (from 1 January 1947 to 5 August 2015). Evidence quality was assessed using a 36-point scoring system for disparate study designs.

settingStudies with paediatric-to-adult transition programmes and interventions involving primary care providers or in primary care settings.

participantsYouth aged 16 years and over. OUTCOMES: Relevant outcomes were grouped into 3 main domains based on the Triple Aim Framework: experience of care, population health, cost.

resultsA total of 1888 unique citations were identified, yielding 3 studies for inclusion. Overall, primary care provider roles were not well defined. 2 studies used case managers to facilitate referrals to primary care, and the remaining study was the only 1 situated in a primary care setting. None of the studies examined transition in all 3 Triple Aim Framework domains. The most commonly reported outcomes were in the cost domain.

conclusionsThere is limited empiric evidence to guide primary care interventions to improve transition outcomes for youth with chronic conditions. Future research and policy should focus on developing and evaluating coordinated transition interventions to better integrate primary care for high need populations.

Indexed as

Physician's RolePrimary Health CareTransition to Adult CareAdolescentCase ManagementChronic DiseaseHumansYoung AdultPAEDIATRIC-TO-ADULTPRIMARY CARETRANSITION

Identifiers

PMID27150188
PMCPMC4861092

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.