ReviewInternational braz j urol : official journal of the Brazilian Society of Urology
Transition: The Patient in a No-Man´s Land.
Review in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Transition from adolescence to adulthood: Dedicated health services for young people with epilepsy in Italy.Epileptic disorders : international epilepsy journal with videotape · 2026Observational
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe need for transition from pediatric to adult health services developed from better survival rates of congenital diseases. Quality of life, Independence, and health preservation are to be considered. Perspectives on transition differ between patients, families, health professional and administrators.
methodsNon-systematic review and discussion of transition dilemas in a structured format.
resultsMedical transition occurs during late adolescence/ early adulthood. Patients are expected to have increased longevity, need lifeterm follow-up and present varying degrees of complexity. Patients' fundamental wishes may conflict with caregivers' considerations. Technical decisions must be balanced, taking into account patient´s social, cognitive, motor and psychological conditions, and the needs of their family caregivers. Difficulties by pediatric healthcare professionals in mastering adult diseases, and challenges encountered by adult-specialized physicians in managing sequelae or ensuring continuity of care for pediatric conditions, are the rule. Patients afflicted by with chronic complex conditions may prove financially challenging. For families, transitioning from from paediatric care to adult-oriented medicine is destabilizing and distressing. The idealization of an unattainable normality is prevalent and detrimental, leading to the abandonment of therapeutic strategies deemed socially undesirable. DISCUSSION: Transition care urgently requires planning by health administrators. Patients should be transferred to adult care only after clinical stabilization. Three models of transition have been suggested (direct transfer, protocol and age-driven; permanence under pediatric assistants control with eventual consultation with adult experts and gradual transition, permeated by a period of conjoint assistance). The last format is considered ideal.
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