A transition clinic model for inflammatory bowel disease between two tertiary care centers: outcomes and predictive factors

Franco Scaldaferri, G Angelino, E F Romeo, Loris Riccardo Lopetuso, O Ricca, S Filoni, E Borrelli, F Torroni, S Faraci, F Rea, Valentina Giorgio, Marco Pizzoferrato, Andrea Poscia, Daniele Ferrarese, Giovanni Camardese, Maria Luisa Neri, Alessandro Armuzzi, Luigi Dall'Oglio, Antonio Gasbarrini, P De Angelis

Risultato della ricerca: Contributo in rivistaArticolo in rivista


– OBJECTIVE: Few models of transition have been proposed for inflammatory bowel disease (IBD). The aim of the present study is to evaluate the feasibility of a transition model and the predictive factors for success/failure. PATIENTS AND METHODS: Patients with low activity or remission IBD were enrolled. Proposed model: three meetings every four-six weeks: the first one in the pediatric center (Bambino Gesù Children’s Hospital); the second one, in the adult center (Foundation Polyclinic University A. Gemelli), with pediatric gastroenterologists; the last one, in the adult center, with adult gastroenterologists only. Questionnaires included anxiety and depression clinical scale, self-efficacy, quality of life, visual-analogic scale (VAS). Transition was considered successful if the three steps were completed. RESULTS: Twenty patients were enrolled (range 18-25 years; M/F: 12/8; Ulcerative Colitis/ Crohn’s Disease 10/10); eight accepted the transition program, four delayed the process and eight refused. Patients who completed transition generated higher scores on the resilience scale, better scores on well-being perception, and had lower anxiety scores. Patients who failed transition were mostly women. The perceived utility of the transition program was scored 7.3 on a VAS scale. CONCLUSIONS: The proposed transition program seems to be feasible. Psychological scores may help in selecting patients and predicting outcomes.
Lingua originaleEnglish
pagine (da-a)8469-8476
Numero di pagine8
RivistaEuropean Review for Medical and Pharmacological Sciences
Stato di pubblicazionePubblicato - 2020


  • Adolescent
  • Adult
  • Children
  • Crohn’s disease
  • Female
  • Humans
  • Inflammatory Bowel Diseases
  • Male
  • Quality of life
  • Self-efficacy
  • Surveys and Questionnaires
  • Transition to Adult Care
  • Ulcerative colitis
  • Young Adult


Entra nei temi di ricerca di 'A transition clinic model for inflammatory bowel disease between two tertiary care centers: outcomes and predictive factors'. Insieme formano una fingerprint unica.

Cita questo