Evidence map›Paper›PMID 28391881›Full record

ArticleJournal of clinical lipidology

Transitioning from pediatric to adult health care with familial hypercholesterolemia: Listening to young adult and parent voices.

Samantha K Sliwinski, Holly Gooding, Sarah de Ferranti, Thomas I Mackie, Supriya Shah, Tully Saunders, Laurel K Leslie

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical lipidology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Transition of care from childhood/adolescence to adulthood in familial hypercholesterolemia.Journal of pediatric endocrinology & metabolism : JPEM · 2025
    Review
  2. Review
  3. Life Course Approach for Managing Familial Hypercholesterolemia.Journal of the American Heart Association · 2025
    Review
  4. Review
  5. Article
  6. Caregivers' Perspective on Successful Health Care Transition Outcomes for Adolescents and Young Adults With Special Health Care Needs.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  7. Article
  8. Transition readiness in middle and older adolescents with asthma and associated factors: a descriptive study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
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  12. 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

7 authors at 4 institutions in 1 country.

Samantha K SliwinskiInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
Holly GoodingDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
Sarah de FerrantiDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Thomas I MackieInstitute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, USA; Department of Health Systems and Policy, School of Public Health, Rutgers University, New Brunswick, NJ, USA.
Supriya ShahInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
Tully SaundersInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
Laurel K LeslieInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA; Department of Pediatrics, Floating Hospital for Children at Tufts Medical Center, Boston, MA, USA; Tufts Clinical and Translational Science Institute, Tufts Medical Center, Boston, MA, USA; American Board of Pediatrics, Chapel Hill, NC, USA. Electronic address: lleslie@abpeds.org.
Tufts Medical Center · USBoston Children's Hospital · USRutgers, The State University of New Jersey · USTufts Children's Hospital · US

Funding

Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
TUFTS CLINICAL AND TRANSLATION SCIENCE INSTITUTE (UL1): BPCAUL1RR025752 · NCRR · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2008 to 2011
$17.6M
Tufts Clinical and Translation Science Institute (UL1)UL1TR000073 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2012 to 2013
$5.5M
NCATS NIH HHS UL1 TR000073NCATS NIH HHS UL1 TR001064NCRR NIH HHS UL1 RR025752
6 · The paper itself

Abstract

backgroundYoung adults with familial hypercholesterolemia (FH) are at a critical period for establishing behaviors to promote future cardiovascular health.

objectiveTo examine challenges transitioning to adult care for young adults with FH and parents of FH-affected young adults in the context of 2 developmental tasks, transitioning from childhood to early adulthood and assuming responsibility for self-management of a chronic disorder.

methodsSemistructured, qualitative interviews were conducted with 12 young adults with FH and 12 parents of affected young adults from a pediatric subspecialty preventive cardiology program in a northeastern academic medical center. Analyses were conducted using a modified grounded theory framework.

resultsRespondents identified 5 challenges: (1) recognizing oneself as a decision maker, (2) navigating emerging independence, (3) prioritizing treatment for a chronic disorder with limited signs and symptoms, (4) managing social implications of FH, and (5) finding credible resources for guidance. Both young adults and parents proposed similar recommendations for addressing these challenges, including the need for family and peer involvement to establish and maintain diet and exercise routines and to provide medication reminders. Systems-level recommendations included early engagement of adolescents in shared decision-making with health care team; providing credible, educational resources regarding FH; and using blood tests to track treatment efficacy.

conclusionYoung adults with FH transitioning to adult care may benefit from explicit interventions to address challenges to establishing healthy lifestyle behaviors and medication adherence as they move toward being responsible for their medical care. Further research should explore the efficacy of recommended interventions.

Indexed as

AdultChildChronic DiseaseDecision MakingFemaleHumansHyperlipoproteinemia Type IIInterpersonal RelationsMaleParentsPatient CareSelf CareYoung AdultCardiovascular healthChronic disorderFamilial hypercholesterolemiaTransition to adult careYoung adult

Identifiers

PMID28391881
PMCPMC6547361
OpenAlexW2550677146

What OpenQuestion holds

Textmetadata
LicenceTDM
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.