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Hiremath G, Chapa-Rodriguez A, Katzka DA, Spergel JM, Gold B, Bredenoord AJ, Dellon ES, Huang J, Gupta SK. Transition of care of patients with eosinophilic gastrointestinal diseases: Challenges and opportunities. TRANSLATIONAL SCIENCE OF RARE DISEASES 2022; 6:13-23. [PMID: 35892038 PMCID: PMC9311497 DOI: 10.3233/trd-220054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Eosinophilic gastrointestinal disorders (EGID) are a group of allergen-mediated conditions which are characterized by eosinophilic inflammation affecting one or more parts of the gastrointestinal tract. A disproportionately higher number of EGID patients are diagnosed in the pediatric age group. Given the chronic course of EGIDs and lack of curative therapies at this time, majority of the pediatric EGID patients may require continued care well into their adulthood. However, to date, scant data are available regarding the health care transition (HCT), the transition of care (TC), and the effectiveness of transfer of care EGID patients from pediatric-oriented to adult-oriented providers. Herein, we review the lessons learnt from transfer of care of children with other chronic gastrointestinal and allergic conditions, analyze the current knowledge, potential barriers, the role of various stakeholders in successful transfer of care of EGID patients, propose a conceptual framework for HCT and TC of EGID patients, and identify outcome measures to ensure the quality of progression of care.
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Affiliation(s)
- Girish Hiremath
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Monroe Carroll Jr. Children’s Hospital at Vanderbilt, Nashville, TN, USA
| | - Adrian Chapa-Rodriguez
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - David A. Katzka
- Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA
| | - Jonathan M. Spergel
- Division of Allergy-Immunology, Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Benjamin Gold
- Children’s Center for Digestive Healthcare, LLC, Atlanta, GA, USA
| | - Albert J. Bredenoord
- Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, The Netherlands
| | - Evan S. Dellon
- Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA
| | - Jeannie Huang
- School of Medicine, University of California, San Diego Rady Children’s Hospital, San Diego, CA, USA
| | - Sandeep K. Gupta
- Medical Director for Research/Community Health Network, Attending Faculty, Pediatric Gastroenterology/Hepatology/Nutrition, Indiana University School of Medicine, Indianapolis, IN, USA
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