Department of Pediatrics, Aga Khan University, Karachi, Pakistan.
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Sinai Hospital, Baltimore, USA.
Dig Dis Sci. 2024 Oct;69(10):3640-3649. doi: 10.1007/s10620-024-08484-9. Epub 2024 May 23.
Inflammatory Bowel Disease (IBD) is an early onset condition that affects individuals of all ages. Approximately 15%-25% of patients present before the age of 20 years, with peak onset occurring during adolescence.
To evaluate transition readiness among adolescents diagnosed with IBD and identify barriers to transition.
We conducted a cross-sectional study of patients with IBD aged 12-21 years. Patients were stratified by age into three groups: A (12-14 years), B (14-17 years), and C (17 + years). Patients were asked to complete a questionnaire which assessed patient knowledge in three areas of transition: 'Taking Charge,' 'My Health,' and 'Using Health Care.' Fisher's Exact and Chi-Square tests were used to evaluate the associations between age and transition readiness.
A total of 127 participants (68 males and 59 females) with a mean age of 16.14 years were included. Transition readiness increased with age from 60.7% in Group A to 63.2% and 77.9% in Groups B and C, respectively (p < 0.001). Patient confidence and the importance of transition increased with age, with means of 5.51, 6.17, and 6.94 in Groups A, B, and C (p = 0.02). Patient-reported knowledge of their health condition was > 70%, with no statistical differences between the groups (p = 0.65). Patient knowledge regarding 'Using Health Care' increased from 52% in Group A to 79% in Group C (p < 0.001). The greatest barriers to transitioning were carrying health information for Group A (100%) and obtaining provider referrals for Groups B (75%) and C (51%).
This study demonstrated that transition readiness increases with age in adolescents with IBD.
炎症性肠病（IBD）是一种发病年龄较早的疾病，影响各个年龄段的人群。大约 15%-25%的患者在 20 岁之前发病，发病高峰期出现在青春期。
评估诊断为 IBD 的青少年的过渡准备情况，并确定过渡的障碍。
我们对年龄在 12-21 岁的 IBD 患者进行了横断面研究。患者按年龄分为三组：A（12-14 岁）、B（14-17 岁）和 C（17 岁+）。患者被要求完成一份问卷，评估他们在三个过渡领域的知识：“负责”、“我的健康”和“使用医疗保健”。Fisher 精确检验和卡方检验用于评估年龄与过渡准备之间的关联。
共有 127 名参与者（68 名男性和 59 名女性），平均年龄为 16.14 岁。随着年龄的增长，过渡准备率从 A 组的 60.7%增加到 B 组的 63.2%和 C 组的 77.9%（p<0.001）。患者的信心和过渡的重要性随着年龄的增长而增加，A、B 和 C 组的平均值分别为 5.51、6.17 和 6.94（p=0.02）。患者对自身健康状况的了解程度超过 70%，各组之间无统计学差异（p=0.65）。患者在“使用医疗保健”方面的知识从 A 组的 52%增加到 C 组的 79%（p<0.001）。过渡的最大障碍是为 A 组携带健康信息（100%）和为 B 组（75%）和 C 组（51%）获得提供者转诊。
这项研究表明，在患有 IBD 的青少年中，随着年龄的增长，过渡准备情况会有所提高。
