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
Year: 2024
Type: article
Abstract: 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.
Source: Neurogastroenterology & Motility
DOI: 10.1111/nmo.14869
Authors: Mohsin F. Butt, Jip Groen, Charlotte A. L. Jonker, Helen Burton‐Murray, Emma V. Carrington, Lin Chang, Carlo Di Lorenzo, Jacob Ellis, Johanna C. Escher, Ramon R. Gorter, Sorcha Jewell, Katja Karrento, Emma C. Koster, Samuel Nurko, Rachel Rosen, Miranda A. L. van Tilburg, Natalia Zarate‐Lopez, Maura Corsetti, Marc A. Benninga
Institutions: Mayo Clinic, University of Nottingham, NIHR Nottingham Digestive Diseases Biomedical Research Unit, Amsterdam UMC Location University of Amsterdam, Emma Kinderziekenhuis, Harvard University, Imperial College London, University of California, Los Angeles, Nationwide Children's Hospital, University College London Hospitals NHS Foundation Trust, Erasmus MC - Sophia Children’s Hospital, Medical College of Wisconsin, Erasmus MC, Boston Children's Hospital, University of North Carolina at Chapel Hill, University of Washington, Cape Fear Valley Health System, Cape Fear Valley Medical Center, Marshall University, University College London
Language: English
Subfield: Speech and Hearing
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,640
Awards: G5494846395, G5784604663
OpenAlex ID: W4400877830
