Evidence map›Paper›PMID 32039737›Full record

ArticleTrials2020

Impact of a paediatric-adult care transition programme on the health status of patients with sickle cell disease: study protocol for a randomised controlled trial (the DREPADO trial).

Delphine Hoegy, Nathalie Bleyzac, Alexandra Gauthier-Vasserot, Giovanna Cannas, Angélique Denis, Arnaud Hot, Yves Bertrand, Pauline Occelli, Sandrine Touzet, Claude Dussart and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03786549 (Impact of a Pediatric-adult Care Transition Program on the Health Status of Patients With Sickle Cell Disease - A Randomized Controlled Trial), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT03786549 narecruitingnot on this map

Impact of a Pediatric-adult Care Transition Program on the Health Status of Patients With Sickle Cell Disease - A Randomized Controlled Trial

TypeinterventionalSponsorHospices Civils de LyonRan2019 to 2027Enrolled196ConditionsSickle Cell DiseaseArmspediatric-adult care transition program
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
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

12 authors at 2 institutions in 2 countries.

Delphine HoegyEA 4129 P2S Parcours Santé Systémique-Université Claude Bernard Lyon 1, Université Lyon 1, Lyon, France. delphine.hoegy@chu-lyon.fr.ORCID http://orcid.org/0000-0002-8659-6073
Nathalie BleyzacEMR 3738, PK/PD modeling in oncology, Université Claude Bernard Lyon 1, Université Lyon 1, Lyon, France.
Alexandra Gauthier-VasserotINSERM U1111-CNRS UMR 5308 ENS Lyon, Université Lyon 1, Lyon, France.
Giovanna CannasINSERM U1111-CNRS UMR 5308 ENS Lyon, Université Lyon 1, Lyon, France.
Angélique DenisPôle Santé Publique, Hospices Civils de Lyon, Lyon, France.
Arnaud HotMédecine Interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
Yves BertrandINSERM U1111-CNRS UMR 5308 ENS Lyon, Université Lyon 1, Lyon, France.
Pauline OccelliPôle Santé Publique, Hospices Civils de Lyon, Lyon, France.
Sandrine TouzetPôle Santé Publique, Hospices Civils de Lyon, Lyon, France.
Claude DussartEA 4129 P2S Parcours Santé Systémique-Université Claude Bernard Lyon 1, Université Lyon 1, Lyon, France.
Audrey Janoly-DumenilEA 4129 P2S Parcours Santé Systémique-Université Claude Bernard Lyon 1, Université Lyon 1, Lyon, France.
DREPADO study group
Université Claude Bernard Lyon 1 · FRHospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThanks to advancements in medical care, a majority of patients with sickle cell disease (SCD) worldwide live beyond 18 years of age, and therefore, patients initially followed in paediatric departments are then transferred to adult departments. This paediatric-adult care transition is a period with an increased risk of discontinuity of care and subsequent morbidity and mortality. During this period, the patient will have to manage new interlocutors and places of care, and personal issues related to the period of adolescence. To take into consideration all these aspects, an interesting approach is to use the whole system approach to the patient, as presented in the biopsychosocial approach. The aim of this trial is to evaluate the impact of the proposed biopsychosocial paediatric-adult transition programme.

methodsThe DREPADO study is a multicentre randomised control trial comparing a control group (Arm A) to an interventional group with a paediatric-adult transition programme based on a biopsychosocial approach (Arm B). To be included, patients should have the SS, SC, or Sβ form of sickle cell disease and be aged between 16 and 17 years. The randomisation in a 1:1 ratio assigns to Arm A or B. The primary outcome is the number of hospital admissions and emergencies for complications in the index hospital, in the 2 years after the first consultation in the adult department of care. Secondary outcomes consider the quality of life, but also include coping skills such as sense of self-efficacy and disease knowledge. To provide patient and parent knowledge and coping skills, the transition programme is composed of three axes: educational, psychological, and social, conducted individually and in groups. DISCUSSION: By providing self-care knowledge and coping skills related to SCD and therapeutics, helping empower patientsin relation to pain management and emotions, and facilitating the relationship to oneself, others, and care in Arm B of the DREPADO study, we believe that the morbidity and mortality of patients with SCD may be reduced after the proposed paediatric-adult transition programme.

trial registrationClinicalTrials.gov, ID: NCT03786549; registered on 17 December 2018; https://clinicaltrials.gov/.

Indexed as

Health StatusTransition to Adult CareAdaptation, PsychologicalAdolescentAwarenessEmotionsFemaleHemoglobin SC DiseaseHemoglobin, SickleHumansMaleMulticenter Studies as TopicPain ManagementPatient ReadmissionQuality of LifeRandomized Controlled Trials as TopicHemoglobin, SicklePaediatric-adult care transitionSickle cell disease

Identifiers

PMID32039737
PMCPMC7008523
OpenAlexW3007779670

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.