Evidence map›Paper›PMID 31424181›Full record

ArticlePediatric pulmonology2019

Controlled evaluation of a transition clinic for Dutch young people with cystic fibrosis.

Mariëlle A C Peeters, Jane N T Sattoe, AnneLoes van Staa, Simone E Versteeg, Inge Heeres, Niels W Rutjes, Hettie M Janssens

Open access · hybridAbstract read
In one paragraph

Article in Pediatric pulmonology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 14 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

7 authors at 3 institutions in 1 country.

Mariëlle A C PeetersResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.ORCID 0000-0003-3044-6786
Jane N T SattoeResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
AnneLoes van StaaResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Simone E VersteegResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Inge HeeresDepartment of Pediatrics, Division Respiratory Medicine and Allergology, Erasmus MC/Sophia Children's Hospital, University Medical Center, Rotterdam, The Netherlands.
Niels W RutjesDepartment of Pediatric Pulmonology, Amsterdam UMC/Emma Children's Hospital, Amsterdam, The Netherlands.
Hettie M JanssensDepartment of Pediatrics, Division Respiratory Medicine and Allergology, Erasmus MC/Sophia Children's Hospital, University Medical Center, Rotterdam, The Netherlands.
Rotterdam University of Applied Sciences · NLErasmus MC - Sophia Children’s Hospital · NLEmma Kinderziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransition clinics (TCs) are advocated as best practice to support young people with cystic fibrosis (CF) during transition to adulthood and adult care. We aimed to research the functioning of a TC for young people with CF compared with direct hand-over care and to evaluate whether those treated at the TC have better transfer experiences and outcomes compared with the control group.

methodsMixed-methods retrospective controlled design, including interviews with professionals, observations of clinics, chart reviews (at four measurement moments), and patient surveys. Qualitative data analysis focused on organization and daily routines, and barriers and facilitators experienced. Young people's transfer experiences, self-management, health care use, and clinical outcomes were assessed quantitatively.

resultsThe most notable feature distinguishing the TC and direct hand-over care comprised joint consultations between pediatric and adult care professionals in the former. A transition coordinator was considered essential for the success of the TC. The main barriers were lack of time, planning, and reimbursement issues. Young people treated at the TC tended to have better transfer experiences and were more satisfied. They reported significantly more trust in their adult care professionals. Their self-management-related outcomes were less favorable.

conclusionsThe TC had several perceived benefits and showed positive trends in transfer experiences and satisfaction, but no differences in health-related outcomes. Structured preparation of young people, joint consultations with pediatric and adult care professionals, and better coordination were perceived as facilitating elements. Further improvement demands solutions for organizational and financial barriers, and better embedding of self-management interventions in CF care.

Indexed as

AdultAmbulatory Care FacilitiesCystic FibrosisFemaleHumansMaleNetherlandsRetrospective StudiesSelf CareTransition to Adult CareYoung Adultadolescentsmixed-methodstransfertransitional care

Identifiers

PMID31424181
PMCPMC6852263
OpenAlexW2969752478

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.