Evidence map›Paper›PMID 41964612›Full record

Observational studyEpileptic disorders : international epilepsy journal with videotape2026

Transition from adolescence to adulthood: Dedicated health services for young people with epilepsy in Italy.

Ilaria Viganò, Ilaria Venezia, Maurizio Bonati, Antonio Clavenna, Francesca Scarpellini, Elisa Roberti, Stefania Bergamoni, Elisabetta Cesaroni, Francesca Ragona, Chiara Pastori and 13 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Epileptic disorders : international epilepsy journal with videotape, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Transition from adolescence to adulthood: Dedicated health services for young people with epilepsy in Italy.Epileptic disorders : international epilepsy journal with videotape · 2026
    Observational
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

23 authors.

Ilaria ViganòChild Neurology and Epilepsy Centre, ASST Santi Paolo e Carlo, Milan, Italy.ORCID https://orcid.org/0009-0003-7850-7119
Ilaria VeneziaChild Neurology and Epilepsy Centre, ASST Santi Paolo e Carlo, Milan, Italy.ORCID https://orcid.org/0000-0002-1198-9411
Maurizio BonatiLaboratory of Child Health and Development Epidemiology, Department of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0003-3997-3726
Antonio ClavennaLaboratory of Child Health and Development Epidemiology, Department of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0001-5536-4192
Francesca ScarpelliniCentro Psicodiagnostico Italiano, Milan, Italy.ORCID https://orcid.org/0000-0002-2356-5616
Elisa RobertiLaboratory of Child Health and Development Epidemiology, Department of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0003-3525-9015
Stefania BergamoniChildhood Neurology and Psychiatry Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano (ASST GOM) Niguarda, Milan, Italy.ORCID https://orcid.org/0009-0008-4071-9833
Elisabetta CesaroniChild Neurology and Psychiatric Unit, Pediatric Hospital g Salesi, AOU delle Marche, Ancona, Italy.ORCID https://orcid.org/0000-0002-7177-4500
Francesca RagonaDepartment of Pediatric Neuroscience, European Reference Network EPIcare Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0003-1399-8271
Chiara PastoriDepartment of Pediatric Neuroscience, European Reference Network EPIcare Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0002-9121-5087
Elena FreriDepartment of Pediatric Neuroscience, European Reference Network EPIcare Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0002-2293-8687
Monica BrioschiChildhood Neurology and Psychiatry Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano (ASST GOM) Niguarda, Milan, Italy.
Floriana FerroDepartment of Biomedical Science, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Cagliari, Italy.
Federica De MartinoDepartment of Biomedical Science, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Cagliari, Italy.
Silvia CappaneraChild Neurology and Psychiatric Unit, Pediatric Hospital g Salesi, AOU delle Marche, Ancona, Italy.ORCID https://orcid.org/0000-0001-5063-9003
Sabrina SiliquiniChild Neurology and Psychiatric Unit, Pediatric Hospital g Salesi, AOU delle Marche, Ancona, Italy.
Susanna CasellatoDirettore SS "Diagnosi e Cura epilessia Età evolutiva", UOC di Neuropsichiatria Infantile, AOU di Sassari, Dipartimento salute donna e bambino, Sassari, Italy.
Tiziana GranataDepartment of Pediatric Neuroscience, European Reference Network EPIcare Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0002-0170-6836
Carla MariniChild Neurology and Psychiatric Unit, Pediatric Hospital g Salesi, AOU delle Marche, Ancona, Italy.ORCID https://orcid.org/0000-0002-9212-2691
Aglaia VignoliChildhood Neurology and Psychiatry Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano (ASST GOM) Niguarda, Milan, Italy.ORCID https://orcid.org/0000-0003-4638-4663
Emilia RicciChild Neurology and Epilepsy Centre, ASST Santi Paolo e Carlo, Milan, Italy.ORCID https://orcid.org/0000-0002-3405-6454
Maria Paola CaneviniChild Neurology and Epilepsy Centre, ASST Santi Paolo e Carlo, Milan, Italy.ORCID https://orcid.org/0000-0002-2292-4015
TransiDEA Group

Funding

Ministero della Salute RF-2019-12371228
6 · The paper itself

Abstract

objectiveThe transition from pediatric to adult healthcare services is a particularly sensitive phase for young adults with chronic conditions, including epilepsy. In European countries, there is a lack of standardized protocols for an appropriate and detailed transition path. This study aimed to investigate the experiences of both patients and clinicians during the transition process to adulthood, with the goal of contributing to a nationwide consensus document to standardize practices across Italy.

methodsThis multicentric, observational, prospective, qualitative study included interviews with young people who turned 18 between 2018 and 2022 belonging to four regional epilepsy centers. In addition, pediatric and adult neurologists completed questionnaires addressing epilepsy type, comorbidities, daily life impact, and details of the transition process.

resultsThirty-seven patients (92.5%) participated in the study, 34 of them began the transition process, and the remaining three included two patients who continued to receive care within pediatric services and one patient who was lost to follow up. At the time of the interview, 30 (88%) patients were still under the care of the public adult service, while one returned to the pediatric service, one was followed by a private epileptologist, and two were not under any specialist care. The study revealed significant variability in the duration of the preparatory phase, the time elapsed between referral and access to adult services, and the methods of communication/reporting. The caregivers of patients with epilepsy and associated disabilities reported greater difficulty accessing referrals for multidisciplinary and specialized care for rare or complex epilepsies in adulthood. SIGNIFICANCE: While most patients successfully transitioned, the absence of uniform, structured protocols, in particular for patients with disabilities, created a significant difference in managing transition. The study strongly underscores the urgent need for standardized, shared national guidelines to ensure a consistent, equitable, and effective transition from pediatric to adult epilepsy care across Italy.

Indexed as

EpilepsyTransition to Adult CareAdolescentAdultFemaleHumansItalyMaleProspective StudiesQualitative ResearchYoung Adultadolescenceadulthoodchronic illnessepilepsytransition care

Identifiers

PMID41964612
PMCPMC13499238

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.