A meta-analysis and systematic review of the use of transition tools for patients transitioning from paediatric to adult rheumatology services.

IF 2.1 Q3 RHEUMATOLOGY Rheumatology Advances in Practice Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI:10.1093/rap/rkae130

Kiron Griffin, Fiona Pearce, Jonathan Packham

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Abstract

Objectives: Transitioning from paediatric to adult care can be challenging, but transition tools are designed to increase successful rates of transfer. We aimed to conduct a meta-analysis and systematic review of the use of transition tools in the transfer of care from paediatric to adult services for rheumatology patients.

Methods: An extensive literature search was conducted using MEDLINE, PubMed and Embase. A total of 12 papers were included in the systematic review and 8 in the meta-analysis looking at the use of transition tools in successful follow-up in adult clinics.

Results: The meta-analysis showed 86.6% (95% CI 53.3, 80.6) of patients who used a transition tool attended an adult outpatient clinic within 1 year of their last paediatric appointment, compared with 67.7% (95% CI 56.7, 99.7) of patients who successfully transferred without a transition tool.

Conclusions: The systematic review demonstrated several unique transition tools with local success, but no dominant method. This article demonstrated a general positive influence of transition tools on successful transfer, but more research is needed to strengthen the association.

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对从儿科向成人风湿病服务过渡的患者使用过渡工具的荟萃分析和系统回顾。

目的：从儿科转到成人医疗服务具有挑战性，但过渡工具旨在提高转院成功率。我们旨在对风湿病患者从儿科转到成人治疗过程中过渡工具的使用情况进行荟萃分析和系统回顾：使用 MEDLINE、PubMed 和 Embase 进行了广泛的文献检索。共有 12 篇论文被纳入系统综述，8 篇论文被纳入荟萃分析，研究了在成人诊所成功随访过程中过渡工具的使用情况：荟萃分析表明，使用过渡工具的患者中有 86.6%（95% CI 53.3，80.6）在最后一次儿科就诊后的 1 年内前往成人门诊就诊，而未使用过渡工具成功转院的患者中有 67.7%（95% CI 56.7，99.7）：系统综述显示，有几种独特的转院工具在当地取得了成功，但并没有占主导地位的方法。这篇文章显示了过渡工具对成功转院的普遍积极影响，但还需要更多的研究来加强这种关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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