A meta-analysis and systematic review of the use of transition tools for patients transitioning from paediatric to adult rheumatology services

Griffin, Kiron; Pearce, Fiona; Packham, Jonathan

Abstract

Introduction: Transition from paediatric to adult care can be challenging, but transition tools are designed to increase successful rates of transfer.
Objectives: Conduct a meta-analysis and systematic review into the use of transition tools on transfer of care from paediatric to adult services for rheumatology patients.
Methods: An extensive literature search was conducted using Medline, PubMed and Embase. 12 papers were included in a systematic review and 8 papers in the meta-analysis looking at use of transition tools on successful follow up in adult clinics.
Results: The meta-analysis showed 86.6% (95% CI: 53.3-80.6%) of patients who used a transition tool attended an adult outpatient clinic within 1 year of their last paediatric appointment, compared with 67.7% (95% CI: 56.7-99.7%) of patients who successfully transferred without a transition tool.
Conclusions: The systematic review demonstrated several unique transition tools with local success but no dominant method. This paper demonstrated a general positive influence of transition tools on successful transfer, but more research is needed to strengthen the association.

Citation

Griffin, K., Pearce, F., & Packham, J. (2024). A meta-analysis and systematic review of the use of transition tools for patients transitioning from paediatric to adult rheumatology services. Rheumatology Advances in Practice, 8(4), Article rkae130. https://doi.org/10.1093/rap/rkae130

• Journal Article Type: Article
• Acceptance Date: Jun 30, 2024
• Online Publication Date: Oct 11, 2024
• Publication Date: Oct 11, 2024
• Deposit Date: Jul 9, 2024
• Publicly Available Date: Jul 10, 2024
• Journal: Rheumatology Advances in Practice
• Electronic ISSN: 2514-1775
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 8
• Issue: 4
• Article Number: rkae130
• DOI: https://doi.org/10.1093/rap/rkae130
• Keywords: Transition, Transition Tools, Juvenile Idiopathic Arthritis, Systemic Lupus Erythematosus, Paediatric
• Public URL: https://nottingham-repository.worktribe.com/output/37146830
• Publisher URL: https://academic.oup.com/rheumap/article/8/4/rkae130/7818353