dc.contributor.author |
Moss, Rochelle |
|
dc.contributor.author |
Farrant, Bridget |
|
dc.contributor.author |
Byrnes, Catherine A |
|
dc.coverage.spatial |
Australia |
|
dc.date.accessioned |
2022-06-26T23:49:46Z |
|
dc.date.available |
2022-06-26T23:49:46Z |
|
dc.date.issued |
2021-04 |
|
dc.identifier.citation |
(2021). Journal of Paediatrics and Child Health, 57(4), 548-553. |
|
dc.identifier.issn |
1034-4810 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/60141 |
|
dc.description.abstract |
<h4>Aim</h4>To determine whether the transfer of young people with cystic fibrosis (CF) or bronchiectasis from paediatric to adult services is associated with changes in service engagement and/or health outcomes.<h4>Methods</h4>Young people aged ≥15 years of age with CF or bronchiectasis who transferred from the Auckland-based paediatric service (Starship Children's Hospital) to one of three Auckland-based District Health Boards between 2005 and 2012 were identified and included if they had 3 years care both pre-transfer and post-transfer care. Transfer preparation, service engagement (clinics scheduled, clinics attended) and health outcomes (lung function, hospitalisations) were collected per annum.<h4>Results</h4>Fifty-seven young people transferred in this period with 46 meeting inclusion criteria (CF n = 20, bronchiectasis n = 26). The CF group had better transfer documentation, were transferred at an older age (11 months older P < 0.0001 95%CI: 6.7 months, 14.7 months), were 20 times more likely to attend clinics (P < 0.0001, 95%CI: 7.8, 66.1) and had 3-4 more clinics scheduled pre-transfer (P < 0.0001, 95%CI: 3.4, 4.9) and post-transfer (P < 0.0001, 95%CI: 2.4, 3.8) despite having less severe respiratory disease as measured by FEV1 for each year (P < 0.01, 95%CI: 0.34, 1.22).<h4>Conclusion</h4>The transfer of young people with CF to adult services did not affect health engagement or outcomes, in contrast to those with bronchiectasis. Use of a formalised transfer process, more clinic appointments offered and greater resources for CF may be responsible for this difference. Comprehensive transition with purposeful, planned movement and developmentally appropriate care is a key goal. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
Journal of paediatrics and child health |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Cystic Fibrosis |
|
dc.subject |
Bronchiectasis |
|
dc.subject |
Motivation |
|
dc.subject |
Adolescent |
|
dc.subject |
Adult |
|
dc.subject |
Aged |
|
dc.subject |
Child |
|
dc.subject |
Infant |
|
dc.subject |
Hospitals, Pediatric |
|
dc.subject |
Outcome Assessment, Health Care |
|
dc.subject |
respiratory |
|
dc.subject |
transition |
|
dc.subject |
Clinical Research |
|
dc.subject |
Health Services |
|
dc.subject |
Lung |
|
dc.subject |
Pediatric Research Initiative |
|
dc.subject |
Rare Diseases |
|
dc.subject |
Congenital |
|
dc.subject |
Infection |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Pediatrics |
|
dc.subject |
THORACIC SOCIETY |
|
dc.subject |
LUNG-FUNCTION |
|
dc.subject |
CARE |
|
dc.subject |
SPIROMETRY |
|
dc.subject |
CHILDREN |
|
dc.subject |
DISEASE |
|
dc.subject |
YOUTH |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1114 Paediatrics and Reproductive Medicine |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.title |
Transitioning from paediatric to adult services with cystic fibrosis or bronchiectasis: What is the impact on engagement and health outcomes? |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1111/jpc.15264 |
|
pubs.issue |
4 |
|
pubs.begin-page |
548 |
|
pubs.volume |
57 |
|
dc.date.updated |
2022-05-26T02:35:05Z |
|
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
33185946 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/33185946 |
|
pubs.end-page |
553 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
828513 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Paediatrics Child & Youth Hlth |
|
dc.identifier.eissn |
1440-1754 |
|
pubs.record-created-at-source-date |
2022-05-26 |
|
pubs.online-publication-date |
2020-11-13 |
|