| Title: |
A transition clinic model for inflammatory bowel disease between two tertiary care centers: outcomes and predictive factors. |
| Authors: |
SCALDAFERRI, F.1,2; ANGELINO, G.3; ROMEO, E. F.3 francoscaldaferri@gmail.com; LOPETUSO, L. R.2,4,5; RICCA, O.1,2; FILONI, S.6; BORRELLI, E.7; TORRONI, F.3; FARACI, S.3; REA, F.3; GIORGIO, V.6; PIZZOFERRATO, M.1,2; POSCIA, A.8; FERRARESE, D.2; CAMARDESE, G.7; NERI, M.4,5; ARMUZZI, A.1,2; DALL’OGLIO, L.3; GASBARRINI, A.1,2; DE ANGELIS, P.3 |
| Source: |
European Review for Medical & Pharmacological Sciences. 2020, Vol. 24 Issue 16, p8469-8476. 8p. |
| Abstract: |
OBJECTIVE: Few models of transition have been proposed for inflammatory bowel disease (IBD). The aim of the present study is to evaluate the feasibility of a transition model and the predictive factors for success/failure. PATIENTS AND METHODS: Patients with low activity or remission IBD were enrolled. Proposed model: three meetings every four-six weeks: the first one in the pediatric center (Bambino Gesù Children’s Hospital); the second one, in the adult center (Foundation Polyclinic University A. Gemelli), with pediatric gastroenterologists; the last one, in the adult center, with adult gastroenterologists only. Questionnaires included anxiety and depression clinical scale, self-efficacy, quality of life, visual-analogic scale (VAS). Transition was considered successful if the three steps were completed. RESULTS: Twenty patients were enrolled (range 18-25 years; M/F: 12/8; Ulcerative Colitis/Crohn’s Disease 10/10); eight accepted the transition program, four delayed the process and eight refused. Patients who completed transition generated higher scores on the resilience scale, better scores on well-being perception, and had lower anxiety scores. Patients who failed transition were mostly women. The perceived utility of the transition program was scored 7.3 on a VAS scale. CONCLUSIONS: The proposed transition program seems to be feasible. Psychological scores may help in selecting patients and predicting outcomes. [ABSTRACT FROM AUTHOR] |
| Database: |
Supplemental Index |