Thematic Area: Transition to Adult Care

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.