Thematic Area: Transition to Adult Care

Experts Recommendation

Transition from pediatric to adult renal services: Consensus statement by ISN and IPNA

Reference: Watson AR, Harden PN, Ferris ME, et al. Kidney Int. (2011). doi: 10.1038/ki.2011.209

Core Recommendations:

  1. Transition structures should be implemented in all centers.
  2. Transition should start between 10 and 14 years.
  3. Core elements: Patient education, information transfer, assessment of transition readiness, family support, shared patient visits or conferences of pediatricians and nephrologists.
  4. Adequate financing of transition is needed. 

Comments by Evaluators:

  •  The guideline is more a Consensus Statement. 
  •  More peer review is needed. 
  •  Guideline has to be adopted to local health systems.  
  •  Not all elements can be implemented everywhere due to restricted resources.

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