Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?

The incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a li...

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Main Authors: Jeongseok Kim, Byong Duk Ye
Format: Article
Language:English
Published: Korean Association for the Study of Intestinal Diseases 2019-01-01
Series:Intestinal Research
Subjects:
Online Access:http://www.irjournal.org/upload/pdf/ir-2018-00128.pdf
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author Jeongseok Kim
Byong Duk Ye
author_facet Jeongseok Kim
Byong Duk Ye
author_sort Jeongseok Kim
collection DOAJ
description The incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a lifelong impact, successful transition from pediatric to adult care is important to maintain the continuity of care. Furthermore, successful transition facilitates appropriate development and psychosocial well-being among patients, as well as comprehensive and harmonious healthcare delivery amongst stakeholders. However, there are various obstacles related to patients, family, providers, and organizations that interfere with successful transition. Successful transition requires a flexible and tailored plan that is made according to the patient’s developmental abilities and situation. This plan should be established through periodic interviews with the patient and family and through close collaboration with other care providers. Through a stepwise approach to the transition process, patients’ knowledge and self-management skills can be improved. After preparation for the transition is completed and the obstacles are overcome, patients can be gradually moved to adult care. Finally, successful transition can increase patients’ adherence to therapy, maintain the appropriate health status, improve patients’ self-management, and promote self-reliance among patients.
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spelling doaj.art-9686bd7ef99f42fcb1fc0177ca09a03a2022-12-22T01:02:37ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562019-01-01171243510.5217/ir.2018.00128728Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?Jeongseok Kim0Byong Duk Ye1 Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaThe incidence of pediatric-onset inflammatory bowel disease (IBD) is on the rise, accounting for up to 25% of IBD cases. Pediatric IBD often has extensive bowel involvement with aggressive and rapidly progressing behavior compared to adult IBD. Because IBD has a high morbidity rate and can have a lifelong impact, successful transition from pediatric to adult care is important to maintain the continuity of care. Furthermore, successful transition facilitates appropriate development and psychosocial well-being among patients, as well as comprehensive and harmonious healthcare delivery amongst stakeholders. However, there are various obstacles related to patients, family, providers, and organizations that interfere with successful transition. Successful transition requires a flexible and tailored plan that is made according to the patient’s developmental abilities and situation. This plan should be established through periodic interviews with the patient and family and through close collaboration with other care providers. Through a stepwise approach to the transition process, patients’ knowledge and self-management skills can be improved. After preparation for the transition is completed and the obstacles are overcome, patients can be gradually moved to adult care. Finally, successful transition can increase patients’ adherence to therapy, maintain the appropriate health status, improve patients’ self-management, and promote self-reliance among patients.http://www.irjournal.org/upload/pdf/ir-2018-00128.pdfTransitionInflammatory bowel diseaseCrohn diseaseColitis, ulcerative
spellingShingle Jeongseok Kim
Byong Duk Ye
Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?
Intestinal Research
Transition
Inflammatory bowel disease
Crohn disease
Colitis, ulcerative
title Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?
title_full Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?
title_fullStr Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?
title_full_unstemmed Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?
title_short Successful transition from pediatric to adult care in inflammatory bowel disease: what is the key?
title_sort successful transition from pediatric to adult care in inflammatory bowel disease what is the key
topic Transition
Inflammatory bowel disease
Crohn disease
Colitis, ulcerative
url http://www.irjournal.org/upload/pdf/ir-2018-00128.pdf
work_keys_str_mv AT jeongseokkim successfultransitionfrompediatrictoadultcareininflammatoryboweldiseasewhatisthekey
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