SynthesisWorld journal of urology2025
Transitional urology in congenital and neurological conditions: a global review of structured care models and clinical outcomes.
Synthesis in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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
2 citing papers in PubMed.
- Adolescent Perceptions and Barriers for Urological Transition: STREAMWAY Qualitative Study Protocol.European urology open science · 2026Article
- Transitional urology: a comprehensive review of the transitional care process.Nature reviews. Urology · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransitional urology bridges paediatric and adult care for patients with congenital and chronic urological conditions. However, the lack of standardized protocols and coordinated care has resulted in poor adherence, increased complications, and gaps in long-term management.
objectivesThis systematic review aims to provide a global overview of structured transition programs in congenital and neurological urology. It evaluates program design, implementation, and the role of healthcare providers-including transition coordinators and multidisciplinary teams-in delivering transitional care. The review further examines their impact on patient adherence, clinical outcomes (such as emergency visits and complications), and psychosocial readiness, while identifying gaps and barriers to improving care models worldwide.
methodsA systematic literature search was conducted in PubMed, Embase, and Scopus databases using predefined MeSH terms and keywords. Inclusion criteria encompassed studies focusing on transitional care in urology for adolescents and young adults. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and the quality of included studies was assessed using the Newcastle-Ottawa Scale for risk of bias. Data on study characteristics, interventions, and outcomes were extracted and synthesized.
resultsA total of 20 studies met the inclusion criteria. Structured transition programs (e.g., dedicated multidisciplinary clinics) were associated with improved patient adherence and fewer emergency visits, with some studies reporting significant improvements in follow-up retention and reductions in complication rates. Psychosocial readiness factors (such as health literacy and family support) and family involvement emerged as primary predictors of successful transitions. However, significant barriers persist, including inadequate patient education, lack of transition coordinators, limited adult care access, and financial constraints. Geographical disparities were noted, with structured programs primarily reported in high-resource settings.
conclusionsThe transition from paediatric to adult urology remains inconsistent across healthcare systems. Structured programs with dedicated transition coordinators, patient education initiatives, and multidisciplinary collaboration significantly improve adherence and long-term outcomes for young urological patients. This comprehensive review underscores the need to develop standardized transition protocols, integrate digital health solutions, and address regional disparities. Future efforts should focus on ensuring seamless continuity of care for adolescents with chronic urological conditions through evidence-based transitional urology models.
Indexed as
Identifiers
41143985What OpenQuestion holds
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.