Addressing the Transition to Adult Health Care for Adolescents and Young Adults with Pancreatic Disorders

Cureus. 2024 Apr 10;16(4):e57972. doi: 10.7759/cureus.57972. eCollection 2024 Apr.

Abstract

Introduction: The transition from pediatric to adult health care is a vulnerable time period for adolescents and young adults (AYA). Guidance on how to effectively implement transition support for AYA with recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) is lacking.

Methods: To address this gap, we formed a consortium of pancreatic centers that would work in coordination to test interventions to improve the transition for AYA with RAP and CP. We then performed a baseline assessment of consortium resources and patient transition readiness and developed an educational toolkit for AYA with RAP and CP. Results: Our consortium consists of three National Pancreatic Centers of Excellence, each with a multidisciplinary team to work with AYA with RAP and CP. While our patients ages 18 to 23 were generally seen at the pediatric centers, the baseline assessment of transition readiness suggests that our patients may have higher transition readiness scores than other populations. The educational toolkit contains both pancreas-specific and general guidance to support AYA with RAP and CP during their transition, including guidance on nutrition, pain management, and finding an adult gastroenterologist. Conclusions: We have formed a consortium to test interventions to improve the transition to adult health care for AYA with RAP and CP. We have completed a baseline assessment and developed our first intervention: an educational tool kit. Future work planned includes tests of the tool kit and efforts to improve rates of transfer to an adult provider for YA with RAP and CP.

Keywords: adolescent health; chronic pancreatitis; recurrent acute pancreatitis; transition to adult health care; young adult health.

Grants and funding

This study was supported by PROCEED (Grants U01 DK108327-09 and U01 DK127388-03) and INSPPIRE (U01 DK108334). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health