title: Adolescents and adults in pediatric urology clinics.
abstract: OBJECTIVE
  Adolescents represent a significant proportion of the patients seen by pediatric urologists (PU). Adolescents that require long-term follow-up (FU) eventually need to be transferred to adult care. This research aims to describe the disease profile of adolescent and adult patients from a referral PU clinic, in order to allow future medical education and cost planning.
  
  
  METHODS
  A retrospective review was made of cases seen in a PU referral clinic from January 1st to December 31st 2011. Patients were classified as child (≤12 years old), adolescent (12 < age ≤ 18 years old) or adult (>18 years old). Diagnoses and presentations were analyzed.
  
  
  RESULTS
  521 patients were seen: 404 children (77.5%), 103 adolescents (19.8%) and 14 adults (2.7%). Clinical profiles differed between the three groups. 43.7% of the adolescents and all adults were FU cases or patients with late sequelae of congenital diseases. Some diseases predominated largely in adolescents.
  
  
  CONCLUSIONS
  Adolescents represent a significant proportion of our PU clinics. Half of them are FU cases or present sequelae from previous treatments/diseases. Some adolescents do not adapt to adult care, and persist being followed up by PU.
authors.affiliation: Pediatric Surgery and Urology Division, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil. Electronic address: lisieuxeyerdejesus@gmail.com.
authors.forename: Lisieux E
authors.initials: LE
authors.lastname: Jesus
authors.affiliation: Pediatric Surgery and Urology Division, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Samuel
authors.initials: S
authors.lastname: Dekermacher
authors.affiliation: Pediatric Surgery and Urology Division, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Júlia
authors.initials: J
authors.lastname: Frota
authors.affiliation: Pediatric Surgery and Urology Division, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Jailma J
authors.initials: JJ
authors.lastname: Bragança
authors.affiliation: Pediatric Surgery and Urology Division, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Kleber M
authors.initials: KM
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D002648:Child; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D006301:Health Services Needs and Demand; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D010360:Patient Transfer / Q000458:organization & administration*; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000628:therapy*; D014572:Urology / Q000458:organization & administration*; D055815:Young Adult
keywords: Adolescents; Pediatric urology; Transition clinic