Pediatric to adult transition care in neurogastroenterology and motility: A position paper from the American Neurogastroenterology and Motility Society and European Society of Neurogastroenterology and Motility.
Mohsin Faysal ButtJip GroenCharlotte A L JonkerHelen Burton MurrayEmma V CarringtonLin ChangCarlo Di LorenzoJacob EllisJohanna C EscherRamon R GorterSorcha JewellKatja KarrentoEmma C KosterSamuel NurkoRachel L RosenMiranda A L van TilburgNatalia Zarate-LopezMaura CorsettiMarc A BenningaPublished in: Neurogastroenterology and motility (2024)
Transition services-programs that support adolescents and young adults (AYAs) as they move from a child-centered to a more autonomous, adult-orientated healthcare system-have been associated with improved short- and long-term healthcare outcomes. Unfortunately, there is a paucity of evidence exploring transition services within the neurogastroenterology and motility (NGM) field. The overall aim of this article, endorsed by the American Neurogastroenterology and Motility Society and European Society of Neurogastroenterology and Motility, is to promote a discussion about the role of transition services for patients with NGM disorders. The AYAs addressed herein are those who have: (a) a ROME positive disorder of gut-brain interaction (DGBI), (b) a primary or secondary motility disorder (including those with motility disorders that have been surgically managed), or (c) an artificial feeding requirement (parenteral or enteral tube feeding) to manage malnutrition secondary to categories (a) or (b). The issues explored in this position paper include the specific physical and psychological healthcare needs of patients with NGM disorders; key healthcare professionals who should form part of a secondary care NGM transition service; the triadic relationship between healthcare professionals, caregivers, and patients; approaches to selecting patients who may benefit most from transition care; methods to assess transition readiness; and strategies with which to facilitate transfer of care between healthcare professionals. Key areas for future research are also addressed, including the construction of NGM-specific transition readiness questionnaires, tools to assess post-transfer healthcare outcomes, and educational programs to train healthcare professionals about transition care in NGM.
Keyphrases
- healthcare
- biofilm formation
- palliative care
- mental health
- affordable care act
- quality improvement
- primary care
- public health
- pain management
- end stage renal disease
- ejection fraction
- pseudomonas aeruginosa
- type diabetes
- chronic kidney disease
- depressive symptoms
- prognostic factors
- health information
- insulin resistance
- young adults
- high resolution
- white matter
- current status
- blood brain barrier