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Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review

Video Published 2024-09-04 Updated 2026-08-01

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Topic Overview

A research fellow from Children's National presents findings from a systematic review conducted by a Melbourne team examining the transition of care for patients with anorectal malformations and Hirschsprung's disease from pediatric to adult providers. The review identified eight studies that found transitional care should begin early in adolescence but revealed little evidence of coordinated or timely transfers occurring in practice. No established models of transition care were identified, highlighting a gap in continuity of care for these patients as they age.

Key Takeaways

  • Transitional care for anorectal malformations and Hirschsprung's disease should begin early in adolescence, not at age 18.
  • Current literature shows no standardized models exist for transitioning colorectal patients from pediatric to adult care.
  • Transfer from pediatric to adult providers is not happening in a coordinated or timely fashion for most patients.
  • Only 8 studies exist on this topic, indicating a significant gap in transition care research for colorectal conditions.
  • Pediatric surgeons should proactively develop transition protocols to ensure continuity of care into adulthood.

Inside this episode

Kai, the Library's AI content creator, listened to this episode and mapped who's speaking, the chapters, key claims, and cases. Every item links to the exact moment in the recording.

AI-enriched

Who's speaking

  • Alex Halpern — host

Chapters

  • 0:00Transition of Care for Colorectal Conditions: Systematic Review Findings — Introduction to the need for pediatric-to-adult transition in anorectal malformations and Hirschsprung's disease, presentation of systematic review findings showing gaps in coordinated transition care, and call for improved care models.

Key claims

  • 0:00Patients with anorectal malformations and Hirschsprung's disease need transfer from pediatric to adult providers to manage their colorectal conditions — Alex Halpern
  • 0:22A team from Melbourne, Australia performed a systematic review and meta-analysis on transition of care for these conditions — Alex Halpern
  • 0:28Eight studies were found on the topic of transition care for anorectal malformations and Hirschsprung's disease — Alex Halpern
  • 0:30Studies agreed that transitional care should start early in adolescence — Alex Halpern
  • 0:30Little evidence exists that transfer from pediatric to adult care is happening in a coordinated or timely fashion — Alex Halpern
  • 0:40No models of transition care were identified in the systematic review — Alex Halpern
  • 0:43More work is needed to ensure children with anorectal malformations and Hirschsprung's disease continue to receive optimal care as they grow older — Alex Halpern

Open questions

  • What specific models of transition care should be developed for patients with anorectal malformations and Hirschsprung's disease?
  • How can coordinated and timely transfer from pediatric to adult care be systematically implemented?
This episode was analyzed and enriched by Kai, the Library's AI content creator. Every item links to the moment it comes from — click a timestamp to listen in context.

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