Evidence map›Paper›PMID 36271446›Full record

ArticlePediatric rheumatology online journal2022

Longitudinal assessment of preparation for care transition among adolescents and young adults with rheumatologic disease: a single-center pilot study.

Jordan E Roberts, Olha Halyabar, Carter R Petty, Maria Alfieri, Brittany Esty, Johnathan Dallas, Melissa Hazen, Sandra Stein, Mary Beth F Son

Abstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Jordan E RobertsDivision of Rheumatology, Seattle Children's Hospital/Seattle Children's Research Institute, University of Washington School of Medicine, 4800 Sand Point Way NE, Mail Stop MA.7.110, Seattle, WA, USA. jordan.roberts@seattlechildrens.org.ORCID http://orcid.org/0000-0002-0976-5697
Olha HalyabarDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Carter R PettyInstitutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA, USA.
Maria AlfieriDepartment of Pediatrics Quality Program, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Brittany EstyDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Johnathan DallasDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Melissa HazenDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Sandra SteinDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Mary Beth F SonDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Funding

MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
Fred Lovejoy House-staff Research and Education Fund Fred Lovejoy House-staff Research and Education FundHarvard Catalyst Harvard CatalystLupus Foundation of America Lupus Foundation of AmericaNIAID NIH HHS T32 AI007512NIH HHS 5T32AI007512
6 · The paper itself

Abstract

Adolescents and young adults (AYA) with rheumatologic diseases are at high risk for poor outcomes and gaps in care when transitioning from pediatric to adult care. However, tools for evaluating transition readiness and assessing the impact of transition interventions are limited. We implemented a written transition policy at our pediatric rheumatology center and evaluated preparation for transition among AYA 16 and older before and after distribution. 31 of 77 patients completed the follow-up survey (response rate 40%). Patient report of transition counseling increased following written transition policy implementation, though these results were not statistically significant in our small cohort. Most follow-up respondents (n = 19, 61%) had not yet completed care transfer; 4 (13%) had arranged a visit with an adult rheumatologist and 8 (26%) had fully transitioned to adult care. Those who successfully completed care transfer were older, had completed higher levels of education, and had significantly higher baseline transition preparation scores compared to those with no transfer arranged or planned visit only. Our single-center pilot study demonstrated that longitudinal assessment of transition preparation is feasible and that scores are significantly associated with care transfer outcomes. Tracking transition preparation over time may provide practices with information on areas of highest need for transition guidance and predict successful transfer among AYA with rheumatologic disease.

Indexed as

Arthritis, RheumatoidRheumatologyTransition to Adult CareAdolescentChildHumansPatient TransferPilot ProjectsYoung AdultAdolescentPatient-reported outcomesSurveyTransfer of careTransition

Identifiers

PMID36271446
PMCPMC9587589

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Registered trials

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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.