Evidence map›Paper›PMID 36016593›Full record

ReviewPaediatrics & child health2022

A call for action: Recommendations to improve transition to adult care for youth with complex health care needs.

Alene Toulany, Jan Willem Gorter, Megan Harrison

Open access · bronzeAbstract readReview
In one paragraph

Review in Paediatrics & child health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
27.9field-weighted citation impact, top 1% 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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Transition readiness of youth with co-occurring chronic health and mental health conditions: A mixed methods study.Health expectations : an international journal of public participation in health care and health policy · 2023
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  11. Paediatric Primary Care Across Europe: A Survey of 42 Countries.Acta paediatrica (Oslo, Norway : 1992) · 2026
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10 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Alene ToulanyCanadian Paediatric Society, Adolescent Health Committee, Ottawa, Ontario, Canada.
Jan Willem GorterCanadian Paediatric Society, Adolescent Health Committee, Ottawa, Ontario, Canada.
Megan HarrisonCanadian Paediatric Society, Adolescent Health Committee, Ottawa, Ontario, Canada.
Canadian Paediatric Society · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Youth with complex health care needs, defined as those requiring specialized health care and services for physical, developmental, and/or mental health conditions, are often cared for by paediatricians and paediatric specialists. In Canada, the age at which provincial/territorial funders mandate the transfer of paediatric care to adult services varies, ranging between 16 and 19 years. The current configuration of distinct paediatric and adult care service boundaries is fragmentary, raising barriers to continuity of care during an already vulnerable developmental period. For youth, the lack of care integration across sectors can negatively impact health engagement and jeopardize health outcomes into adulthood. To address these barriers and improve transition outcomes, paediatric and adult care providers, as well as family physicians and other community partners, must collaborate in meaningful ways to develop system-based strategies that streamline and safeguard care for youth transitioning to adult services across tertiary, community, and primary care settings. Flexible age cut-offs for transfer to adult care are recommended, along with considering each youth's developmental stage and capacity as well as patient and family needs and circumstances. Specialized training and education in transitional care issues are needed to build capacity and ensure that health care providers across diverse disciplines and settings are better equipped to accept and care for young people with complex health care needs.

Indexed as

AdolescentAdult CareChronic IllnessMedical ComplexityTransferTransitionYoung AdultYouth

Identifiers

PMID36016593
PMCPMC9394635
OpenAlexW4292623437

What OpenQuestion holds

Textmetadata
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.