Identification of adolescent and adult patients receiving pediatric urologic care and establishment of a dedicated transition clinic

Journal of Pediatric Urology
Matthew D TimberlakeC D Anthony Herndon

Abstract

Pediatric patients with chronic urologic conditions frequently require lifelong evaluation and treatment. Transition to adult urologic care is critically important as these patients mature and the goals of care shift to include sexual function, fertility, and reconstruction. Our objectives are to (1) quantify and describe the population of young adult patients with congenital or childhood-acquired urologic problems who continue to be followed in pediatric urology clinic, to (2) discuss the numerous obstacles to successful care transition, and to (3) outline the design features of the dedicated transition clinic we established in response to the identification of a sizeable population in need. We (1) performed a retrospective review of our electronic health record to identify young adult patients 19-35 years of age seen in pediatric urology clinic over a five year period. Patients without a chronic urologic diagnosis were excluded. We identified each patient's primary diagnosis and status with respect to transition of care. We then (2) established a dedicated transition clinic to facilitate progression to adult care services at our institution. Among 480 young adult patients seen in the pediatric clinic during the five-year peri...Continue Reading

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Citations

Nov 11, 2017·Journal of Pediatric Rehabilitation Medicine·Ellen FremionKathryn Ostermaier
Jan 9, 2019·Frontiers in Pediatrics·Anne Karoline EbertBarbara Ludwikowski
Feb 23, 2020·World Journal of Urology·Matthieu Peycelon, Rosalia Misseri
Nov 21, 2019·Journal of Pediatric Rehabilitation Medicine·Ellen J Fremion, Nienke P Dosa
Jan 9, 2021·Journal of Pediatric Urology·Wietse ClaeysPiet Hoebeke
Feb 11, 2021·Journal of Pediatric Urology·Christopher J LoftusMargarett Shnorhavorian
Jul 5, 2021·Journal of Pediatric Urology·Christopher J LoftusCaitlin A Smith
Jan 4, 2021·Revista Internacional De Andrología·Guilherme Lang MottaTiago Elias Rosito

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