Evidence map›Paper›PMID 39653557›Full record

ArticleBMJ open2024

Promoting Intensive Transitions for Children and Youth with Medical Complexity from Paediatric to Adult Care: the PITCare study-protocol for a randomised controlled trial.

Sara Santos, Donna Thomson, Sanober Diaz, Joanna Soscia, Sherri Adams, Reshma Amin, Stacey Bernstein, Brenda Blais, Natasha Bruno, Kimberly Colapinto and 24 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06093386 (Promoting Intensive Transitions for Children and Youth With Medical Complexity From Pediatric to Adult Care), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06093386 nacompletednot on this map

Promoting Intensive Transitions for Children and Youth With Medical Complexity From Pediatric to Adult Care

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2023 to 2026Enrolled144ConditionsChildren and Youth With Medical ComplexityArmsIntensive Transition Support
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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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

34 authors.

Sara SantosChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Donna ThomsonChild Health Evaluative Sciences, PITCare Patient and Caregiver Advisory Committee, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sanober DiazProvincial Council for Maternal and Child Health, Toronto, Ontario, Canada.
Joanna SosciaDivision of Pediatric Medicine, Complex Care Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sherri AdamsDivision of Pediatric Medicine, Complex Care Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Reshma AminChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Stacey BernsteinDivision of Pediatric Medicine, Complex Care Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Brenda BlaisChild Health Evaluative Sciences, PITCare Patient and Caregiver Advisory Committee, The Hospital for Sick Children, Toronto, Ontario, Canada.
Natasha BrunoChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Kimberly ColapintoDivision of Pediatric Medicine, Complex Care Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sherry EspinToronto Metropolitan University, Toronto, Ontario, Canada.
Nora FayedSchool of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
Jon GreenawayErinoakKids Centre for Treatment and Development, Mississauga, Ontario, Canada.
Megan HenzeSurrey Place Centre, Toronto, Ontario, Canada.
Noah M IversDepartment of Family and Community Medicine, Women's College Hospital, Toronto, Ontario, Canada.
Karen LeGrowToronto Metropolitan University, Toronto, Ontario, Canada.
Audrey LimDepartment of Pediatrics, Hamilton Health Sciences Center, McMaster University, Hamilton, New York, Canada.
Robyn LippettDivision of Pediatric Medicine, Complex Care Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Yona LunskyCentre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-1866-9728
Colin MacarthurChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sanjay MahantChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-0487-5835
Sarah MaleckiChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Susan MirandaDivision of Pediatric Medicine, Complex Care Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Mahendranath MoharirDepartment of Paediatrics, Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Myla E MorettiChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Lacey PhillipsOntario Health, Toronto, Ontario, Canada.
Paula RobesonChildren's Healthcare Canada, Ottawa, Ontario, Canada.
Monica TaryanChild Health Evaluative Sciences, PITCare Patient and Caregiver Advisory Committee, The Hospital for Sick Children, Toronto, Ontario, Canada.
Kevin ThorpeUniversity of Toronto Dalla Lana School of Public Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-7586-3893
Alene ToulanyChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-1238-7049
Eryn VandepoeleDepartment of Pediatrics, Division of Adolescent Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Brenda WeitznerDepartment of Family Medicine, University of Toronto, Toronto, Ontario, Canada.
Julia Orkin *Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Eyal Cohen *Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada eyal.cohen@sickkids.ca.ORCID http://orcid.org/0000-0003-0112-7188

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildren with medical complexity (CMC) have chronic, intensive care needs managed by many healthcare practitioners. Medical advances have enabled CMC to survive well into adulthood. However, the availability of supports as CMC transition into the adult care system remain suboptimal, contributing to poor care coordination, and discontinuity. Promoting Intensive Transitions for Children and Youth with Medical Complexity from Paediatric to Adult Care (PITCare) aims to assess whether intensive patient and caregiver-oriented transition support beyond age 18 will improve continuity of care for CMC compared with usual care. METHODS AND ANALYSIS: This is a pragmatic superiority randomised controlled trial in a parallel group, two-arm design with an embedded qualitative component. CMC turning 17.5 years old will be recruited (n=154), along with their primary caregiver. Participants randomised to the intervention arm will be provided with access to a multidisciplinary transition team who will support patients and caregivers in care planning, integration with an adult primary care provider (PCP), adult subspecialty facilitation and facilitation of resource supports for 2 years. Outcomes will be measured at baseline, 12 and 24 months. The primary outcome measure is successful transfer completion, defined as continuous care in the 2 years after age 18 years old. Secondary outcomes include satisfaction with transitional care, self-management, care coordination, healthcare service use, caregiver fatigue, family distress, utility and cost-effectiveness. Qualitative interviews will be conducted to explore the experiences of patients, caregivers, the transition team, and healthcare providers with the PITCare intervention. ETHICS AND DISSEMINATION: Institutional approval was obtained from the Hospital for Sick Children Research Ethics Board. Our findings and resources will be shared with child health policymakers and transitions advocacy groups provincially, nationally, and internationally. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov, US National Library of Medicine, National Institutes of Health, #NCT06093386.

Indexed as

Transition to Adult CareAdolescentAdultCaregiversChildChronic DiseaseEquivalence Trials as TopicFemaleHumansPragmatic Clinical Trials as TopicAdolescentCaregiversPAEDIATRICSProtocols & guidelinesRandomized Controlled Trial

Identifiers

PMID39653557
PMCPMC11628984

What OpenQuestion holds

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LicenceCC BY-NC
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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.