A transition clinic model for inflammatory bowel disease between two tertiary care centers: outcomes and predictive factors.
Eur Rev Med Pharmacol Sci
; 24(16): 8469-8476, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-32894553
ABSTRACT
OBJECTIVE:
Few models of transition have been proposed for inflammatory bowel disease (IBD). The aim of the present study is to evaluate the feasibility of a transition model and the predictive factors for success/failure. PATIENTS ANDMETHODS:
Patients with low activity or remission IBD were enrolled. Proposed model three meetings every four-six weeks the first one in the pediatric center (Bambino Gesù Children's Hospital); the second one, in the adult center (Foundation Polyclinic University A. Gemelli), with pediatric gastroenterologists; the last one, in the adult center, with adult gastroenterologists only. Questionnaires included anxiety and depression clinical scale, self-efficacy, quality of life, visual-analogic scale (VAS). Transition was considered successful if the three steps were completed.RESULTS:
Twenty patients were enrolled (range 18-25 years; M/F 12/8; Ulcerative Colitis/Crohn's Disease 10/10); eight accepted the transition program, four delayed the process and eight refused. Patients who completed transition generated higher scores on the resilience scale, better scores on well-being perception, and had lower anxiety scores. Patients who failed transition were mostly women. The perceived utility of the transition program was scored 7.3 on a VAS scale.CONCLUSIONS:
The proposed transition program seems to be feasible. Psychological scores may help in selecting patients and predicting outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Inflamatórias Intestinais
/
Transição para Assistência do Adulto
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Eur Rev Med Pharmacol Sci
Ano de publicação:
2020
Tipo de documento:
Article