Benefits of paediatric to adult transition programme in onflammatory bowel disease: The BUTTERFLY study of GETECCU and SEGHNP
Entity
UAM. Departamento de MedicinaPublisher
MDPI AGDate
2023-07-21Citation
10.3390/jcm12144813
Journal of Clinical Medicine 12.14 (2023): 4813
ISSN
2077-0383 (online)DOI
10.3390/jcm12144813Editor's Version
https://doi.org/10.3390/jcm12144813Subjects
transition; transitional care; inflammatory bowel disease; MedicinaRights
© 2023 by the authorsAbstract
Transition is a planned movement of paediatric patients to adult healthcare
systems, and its implementation is not yet established in all inflammatory bowel disease (IBD)
units. The aim of the study was to evaluate the impact of transition on IBD outcomes. (2) Methods:
Multicentre, retrospective and observational study of IBD paediatric patients transferred to an adult
IBD unit between 2017–2020. Two groups were compared: transition (≥1 joint visit involving the
gastroenterologist, the paediatrician, a programme coordinator, the parents and the patient) and
no-transition. Outcomes within one year after transfer were analysed. The main variable was poor
clinical outcome (IBD flare, hospitalisation, surgery or any change in the treatment because of a flare).
Predictive factors of poor clinical outcome were identified with multivariable analysis. (3) Results:
A total of 278 patients from 34 Spanish hospitals were included. One hundred eighty-five patients
(67%) from twenty-two hospitals (65%) performed a structured transition. Eighty-nine patients had poor clinical outcome at one year after transfer: 27% in the transition and 43% in the no-transition
group (p = 0.005). One year after transfer, no-transition patients were more likely to have a flare (36%
vs. 22%; p = 0.018) and reported more hospitalisations (10% vs. 3%; p = 0.025). The lack of transition,
as well as parameters at transfer, including IBD activity, body mass index < 18.5 and corticosteroid
treatment, were associated with poor clinical outcome. One patient in the transition group (0.4%)
was lost to follow-up. (4) Conclusion: Transition care programmes improve patients’ outcomes after
the transfer from paediatric to adult IBD units. Active IBD at transfer impairs outcomes
Files in this item
Google Scholar:Rubín de Célix, Cristina
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Chaparro Sánchez, María
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Pérez Gisbert, Francisco Javier
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