Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings
Abstract Introduction Transition clinics are conceived as programs dedicated to the active, multidimensional development of a process that addresses the medical, psychosocial, educational, and vocational needs of pediatric patients suffering from a chronic disease that will persist into adulthood. T...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Advances in Rheumatology |
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| Online Access: | https://doi.org/10.1186/s42358-024-00419-2 |
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| author | Lauren Natalia Ramirez María Elisa Hoyos Angela Catalina Mosquera-Pongutá Gerardo Quintana-López |
| author_facet | Lauren Natalia Ramirez María Elisa Hoyos Angela Catalina Mosquera-Pongutá Gerardo Quintana-López |
| author_sort | Lauren Natalia Ramirez |
| collection | DOAJ |
| description | Abstract Introduction Transition clinics are conceived as programs dedicated to the active, multidimensional development of a process that addresses the medical, psychosocial, educational, and vocational needs of pediatric patients suffering from a chronic disease that will persist into adulthood. Their understanding is justified in physiological, psychological, and sociocultural terms on the basis of the differential morbidity and mortality associated with a chronic disease that begins in childhood and prevails into adulthood. Materials and methods Here, we reflect on the history, structure, and impact of transition clinics in pediatrics, with an emphasis on pediatric rheumatologic diseases. Additionally, we propose comprehensive reflection as an alternative for the patient, their family, and the medical team, outlining guidelines for development, implementation, and evaluation. Results The transition of care should commence in early adolescence, considering each patient’s cognitive ability as a condition for the initiation of an educational process involving introspection into the disease. Interdisciplinarity is defined as a team that addresses the clinical, physical, emotional, and social dimensions of each patient and their interaction with the environment within the framework of individualized care and family support. Despite this, the lack of evidence supporting standardized guidelines for the implementation and overall effectiveness evaluation of these interventions was highlighted. Conclusions The transition process is considered successful when the patient is adherent and has a positive and informed perception of their health‒disease journey. We urge the generation of evidence documenting the comprehensiveness of processes inherent to transition clinics as the foundation of necessity. |
| format | Article |
| id | doaj-art-55fc94f14b9f41b5b7c34aa2c1ddd185 |
| institution | Kabale University |
| issn | 2523-3106 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Advances in Rheumatology |
| spelling | doaj-art-55fc94f14b9f41b5b7c34aa2c1ddd1852025-01-05T12:50:32ZengBMCAdvances in Rheumatology2523-31062025-01-0165111010.1186/s42358-024-00419-2Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomingsLauren Natalia Ramirez0María Elisa Hoyos1Angela Catalina Mosquera-Pongutá2Gerardo Quintana-López3Grupo de Investigación Reumavance, Facultad de Medicina, Universidad Nacional de ColombiaGrupo de Investigación Reumavance, Facultad de Medicina, Universidad de los AndesGrupo de Investigación Reumavance, Especialista en Reumatología Pediátrica, Hospital Universitario Santa Fe de Bogotá, Clínica Infantil Colsubsidio y Clínica Santa María del LagoGrupo de Investigación Reumavance, Facultad de Medicina, Universidad Nacional de ColombiaAbstract Introduction Transition clinics are conceived as programs dedicated to the active, multidimensional development of a process that addresses the medical, psychosocial, educational, and vocational needs of pediatric patients suffering from a chronic disease that will persist into adulthood. Their understanding is justified in physiological, psychological, and sociocultural terms on the basis of the differential morbidity and mortality associated with a chronic disease that begins in childhood and prevails into adulthood. Materials and methods Here, we reflect on the history, structure, and impact of transition clinics in pediatrics, with an emphasis on pediatric rheumatologic diseases. Additionally, we propose comprehensive reflection as an alternative for the patient, their family, and the medical team, outlining guidelines for development, implementation, and evaluation. Results The transition of care should commence in early adolescence, considering each patient’s cognitive ability as a condition for the initiation of an educational process involving introspection into the disease. Interdisciplinarity is defined as a team that addresses the clinical, physical, emotional, and social dimensions of each patient and their interaction with the environment within the framework of individualized care and family support. Despite this, the lack of evidence supporting standardized guidelines for the implementation and overall effectiveness evaluation of these interventions was highlighted. Conclusions The transition process is considered successful when the patient is adherent and has a positive and informed perception of their health‒disease journey. We urge the generation of evidence documenting the comprehensiveness of processes inherent to transition clinics as the foundation of necessity.https://doi.org/10.1186/s42358-024-00419-2Transition clinicsRheumatologyPediatrics |
| spellingShingle | Lauren Natalia Ramirez María Elisa Hoyos Angela Catalina Mosquera-Pongutá Gerardo Quintana-López Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings Advances in Rheumatology Transition clinics Rheumatology Pediatrics |
| title | Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings |
| title_full | Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings |
| title_fullStr | Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings |
| title_full_unstemmed | Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings |
| title_short | Transition clinics in pediatric rheumatology in Colombia: reflection on a necessary shortcomings |
| title_sort | transition clinics in pediatric rheumatology in colombia reflection on a necessary shortcomings |
| topic | Transition clinics Rheumatology Pediatrics |
| url | https://doi.org/10.1186/s42358-024-00419-2 |
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