A coordinated transition model for patients with cystinosis: from pediatrics to adult care

Aurora Fernández-Polo, Nieves Martín-Begué, Sandra Torres-Sierra, Josep Gámez, Manel Perelló, J. Vicens Torregrosa, Ana Güell, Pere Leyes, Anna Vila-Santandreu, Gema Ariceta, Matilde Fernández-Obispo, Enrique Lara, Roser Torra, Judit García-Villoria, Juan Antonio Camacho, Guillem Pintos-Morell

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© 2016 Sociedad Española de Nefrología Introduction Improved outcome and longer life-expectancy in patients with cystinosis, and disease complexity itself, justify planning a guided-transition of affected patients from Pediatrics to adult medicine. The aims of the process are to guarantee the continuum of care and patient empowerment, moving from guardian-care to self-care. Methods review of articles, expert opinion and anonymous surveys of patients, relatives and patient advocacy groups. Results elaboration a new document to support and coordinate the transition of patients with cystinosis providing specific proposals in a variety of medical fields, and adherence promotion. Nephrologists play a key role in transition due the fact that most cystinotic patients suffer severe chronic kidney disease, and need kidney transplantation before adulthood. Conclusion we present a document providing recommendations and suggesting a chronogram to help the process of transition of adolescents and young adults with cystinosis in our area.
Idioma originalAnglès
Pàgines (de-a)616-630
RevistaNefrologia
Volum36
Número6
DOIs
Estat de la publicacióPublicada - 1 de nov. 2016

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