Evidence map›Paper›PMID 28542322›Full record

ArticlePloS one2017

Transition from pediatric to adult medical care - A survey in young persons with inflammatory bowel disease.

Antje Timmer, Jenny Peplies, Max Westphal, Birgit Kaltz, Antje Ballauff, Martin Claßen, Martin W Laass, Sibylle Koletzko

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

8 authors at 7 institutions in 1 country.

Antje TimmerDivision of Epidemiology and Biometry, Department of Health Services Research, Medical Faculty, Carl von Ossietzky University, Oldenburg, Germany.ORCID http://orcid.org/0000-0001-9579-0516
Jenny PepliesDepartment of Clinical Epidemiology, Leibniz Institute for Prevention Research and Epidemiology - BIPS GmbH, Bremen, Germany.
Max WestphalDepartment of Clinical Epidemiology, Leibniz Institute for Prevention Research and Epidemiology - BIPS GmbH, Bremen, Germany.
Birgit KaltzGerman Crohn's Disease and Ulcerative Colitis association (registered association), Berlin, Germany.
Antje BallauffCenter for Children's and Adolescent Medicine, Krefeld, Germany.
Martin ClaßenChildrens Hospital, Klinikum "Links der Weser", Bremen, Germany.
Martin W LaassChildren's Hospital, Medical Faculty Carl Gustav Carus, Technical University, Dresden, Germany.
Sibylle KoletzkoDivision of Pediatric Gastroenterology and Hepatology, Dr. von Hauner Children's Hospital, Ludwig Maximilian University, Munich, Germany.
Leibniz Institute for Prevention Research and Epidemiology - BIPS · DECarl von Ossietzky Universität Oldenburg · DEDeutsche Morbus Crohn/Colitis ulcerosa Vereinigung · DEGerman Center for Pediatric and Adolescent Rheumatology · DEKlinikum Links der Weser · DELudwig-Maximilians-Universität München · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransition to adult health services is a vulnerable phase in young persons with chronic disease. We describe how young persons with inflammatory bowel disease in Germany and Austria experience care during the transitional age, focusing on differences by type of provider (pediatric vs. adult specialist, no specialist).

methodsThis was a follow up survey in patients previously registered with a pediatric IBD registry. Patients aged 15 to 25 received a postal questionnaire, including a measure of health care experience and satisfaction. Descriptive analyses were stratified by age. Sub-analyses in the 18-20 year age group compared health care experience by type of provider. Determinants of early or late transfer were examined using multinomial logistic regression.

results619 patients responded to the survey; 605 questionnaires were available for analysis. Usual age of completing transition was 18. Earlier transfer was more common with low parental SES (OR 1.8, 95% CI 0.7 to 4.6), and less common with advanced schooling (OR 0.5, 95% CI 0.2 to 1.2). Structured transition was uncommon. 48% of the respondents had not received any preceding transition advice. Overall satisfaction with IBD care was high, especially with respect to interpersonal aspects, but less so in aspects of continuity of care.

conclusionsDespite high overall patient satisfaction, relevant deficiencies in transitional care were documented. Some of these were associated with lower parental social status. Differences in health care satisfaction by type of provider (adult vs. pediatric) were small.

Indexed as

Inflammatory Bowel DiseasesSurveys and QuestionnairesTransition to Adult CareAdolescentAdultFemaleHealth PersonnelHumansMalePatient SatisfactionYoung Adult

Identifiers

PMID28542322
PMCPMC5436761
OpenAlexW2620369715

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.