[Transition clinic--it is not always a simple segue in rheumatology for adults].
Chronic inflammatory rheumatic diseases with onset in childhood often persist into adulthood and result in a considerable number of patients in impairments of body functions and structures, activities at the individual level and participation in society. Continuation of health care beyond adolescence is, therefore, necessary. Its provision should be of high quality, coordinated, uninterrupted, patient-centred and developmentally appropriate to ensure smooth transitions between children's and adult services and positive outcomes of transition for the young people themselves. Existing research is very persuasive on the need to improve transitions for young people with rheumatic diseases. To achieve effective transition, not only disease specific, but also aspects of growth and development have to be taken into account. Paediatric and adult rheumatologists should establish close cooperation and implement specific transition programs to meet the special health care needs of these patients.
Minden
K
K
HELIOS-Kliniken, Klinikum Berlin-Buch, II. Klinik für Kinderheilkunde und Jugendmedizin und Deutsches Rheumaforschungszentrum Berlin, Forschungsbereich Epidemiologie, Schumannstr. 21/22, 10117 Berlin, Germany. Minden@drfz.de
Niewerth
M
M
Zink
A
A
Ganser
G
G
D001171:Arthritis, Juvenile / Q000175:diagnosis / Q000628:therapy; D001172:Arthritis, Rheumatoid / Q000175:diagnosis* / Q000628:therapy*; D019033:Delivery of Health Care, Integrated / Q000379:methods / Q000458:organization & administration; D018450:Disease Progression; D006801:Humans; D010372:Pediatrics / Q000379:methods* / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012219:Rheumatology / Q000379:methods* / Q000458:organization & administration*