Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses

García Rodríguez, Fernando y Raygoza Cortez, Karina y Moreno Hernández, Lesli Michel y García Pérez, Rodrigo y Garza López, Leticia Elizabeth y Arana Guajardo, Ana Cecilia y Jáquez Quintana, Joel Omar y Villarreal Treviño, Ana Victoria y De la O Cavazos, Manuel Enrique y Rubio Pérez, Nadina (2022) Outcomes of transitional care programs on adolescent chronic inflammatory systemic diseases: systematic review and meta-analyses. Pediatric Rheumatology, 20 (1). pp. 1-17. ISSN 1546-0096

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Background Patients with juvenile chronic inflammatory systemic diseases (jCID) are vulnerable to many circumstances when transitioning to adult-centered healthcare; this increases the burden of disease and worsen their quality of life. Methods MEDLINE, Embase, Web of Science and Scopus were searched from inception to March 16th, 2021. We included observational, randomized controlled trials and quasi-experimental studies that evaluated a transitional care program for adolescents and young adults with jCIDs. We extracted information regarding health-related quality of life, disease activity, drop-out rates, clinical attendance rates, hospital admission rates, disease-related knowledge, surgeries performed, drug toxicity and satisfaction rates. Results Fifteen studies met our inclusion criteria. The implementation of transition programs showed a reduction on hospital admission rates for those with transition program (OR 0.28; 95% CI 0.13 to 0.61; I 2 = 0%; p = 0.97), rates of surgeries performed (OR 0.26; 95% CI 0.12 to 0.59; I 2 = 0%; p = 0.50) and drop-out rates from the adult clinic (OR 0.23; 95% CI 0.12 to 0.46; I 2 = 0%; p = 0.88). No differences were found in other outcomes. Conclusion The available body of evidence supports the implementation of transition programs as it could be a determining factor to prevent hospital admission rates, surgeries needed and adult clinic attendance rates.

Tipo de elemento: Article
Palabras claves no controlados: Programa de transición, Condiciones crónicas, Enfermedad inflamatoria intestinal, Artritis idiopática juvenil, Revisión sistemática
Materias: R Medicina > RJ Pediatría
Divisiones: Medicina
Usuario depositante: Editor Repositorio
Creadores:
CreadorEmailORCID
García Rodríguez, FernandoNO ESPECIFICADONO ESPECIFICADO
Raygoza Cortez, KarinaNO ESPECIFICADONO ESPECIFICADO
Moreno Hernández, Lesli MichelNO ESPECIFICADONO ESPECIFICADO
García Pérez, RodrigoNO ESPECIFICADONO ESPECIFICADO
Garza López, Leticia ElizabethNO ESPECIFICADONO ESPECIFICADO
Arana Guajardo, Ana CeciliaNO ESPECIFICADONO ESPECIFICADO
Jáquez Quintana, Joel OmarNO ESPECIFICADONO ESPECIFICADO
Villarreal Treviño, Ana VictoriaNO ESPECIFICADONO ESPECIFICADO
De la O Cavazos, Manuel EnriqueNO ESPECIFICADONO ESPECIFICADO
Rubio Pérez, NadinaNO ESPECIFICADONO ESPECIFICADO
Fecha del depósito: 18 Ago 2022 20:20
Última modificación: 18 Ago 2022 20:20
URI: http://eprints.uanl.mx/id/eprint/23720

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