Evidence map›Paper›PMID 41746737›Full record

ReviewJournal of the American Society of Nephrology : JASN2026

Bridging the Generational Divide in Kidney Health Care Transition Preparation: Adapting to Gen Z and Alpha in a Digital Age.

Rupesh Raina, Sanat Subhash, Shay Tanna, Ruhaan Bajpai, Hui Kim Yap, Maria Díaz-González de Ferris, Priya S Verghese

Abstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Rupesh RainaDepartment of Nephrology, Akron Nephrology Associates at Cleveland Clinic Akron General Medical Center, Akron, Ohio.ORCID 0000-0003-3892-8376
Sanat SubhashCollege of Medicine, Northeast Ohio Medical University, Rootstown, Ohio.ORCID 0009-0008-9477-5136
Shay TannaDepartment of Pediatric Nephrology, Akron Children's Hospital, Akron, Ohio.ORCID 0009-0006-9454-4472
Ruhaan BajpaiDepartment of Biology, Purdue University, West Lafayette, Indiana.ORCID 0009-0006-2680-5706
Hui Kim YapDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0001-6008-382
Maria Díaz-González de FerrisDepartment of Pediatrics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0003-1694-886
Priya S VergheseDepartment of Pediatrics, Ann and Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-8836-0881

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health care transition from pediatric-focused to adult-focused nephrology care comes with significant challenges for adolescents/young adults with kidney disease, their caregivers, and the pediatric-focused and adult-focused practitioners. As younger generations enter this period, transition preparation strategies need to better align with their preferences for autonomy and digital fluency. This scoping review focused on several structured protocols, such as the Recognition, Insight, Self-Reliance, and Establishment of Healthy Habits to Transition model; Self-Management and Transition to Adulthood with R x ; ON Taking Responsibility for Adolescent/Adult Care; Ready Steady Go/Plain Language, Engagement, Empathy, Empowerment, Respect; and others, evaluating their adaptability to younger generations' preferences. This review also highlights barriers posed by emerging technological tools, such as limitations of resources and inconsistent physician coordination. Finally, the role of caregivers is explored, underscoring the importance of early preparation to foster independence and address transition preparation needs. Ultimately, successful preparation and transfer of care require the development of thoughtful and equitable digital tools. Adjusting protocols to meet the expectations of adolescents and young adults may improve adherence and long-term outcomes after their transfer to adult-focused health care.

Indexed as

Kidney DiseasesNephrologyTransition to Adult CareAdolescentDigital HealthHumansYoung Adultchildrenclinical nephrologypediatric nephrologypediatrics

Identifiers

PMID41746737
PMCPMC13337172

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.