JUVENILE ARTHRITIS IN PEDIATRIC AND ADULT RHEUMATOLOGY SERVICE: THE PROBLEM OF CONTINUITY IN THE MANAGEMENT OF PATIENTS
https://doi.org/10.14412/1995-4484-2018-138-143
Abstract
The undeniable progress made over the last decade in the treatment of patients with severe juvenile arthritis has ranked in the order of priorities for the provision of efficient and reliable continuity in the management tactics for patients after their transition from their follow-up by a pediatrician to adult rheumatology service. A number of objective difficulties in organizing such continuity are associated primarily with the heterogeneity of the juvenile arthritis group in its clinical manifestations and nosological outcomes. The features of physiological processes of a growing organism cause significant differences in the nature of the course, manifestations of certain clinically significant syndromes (for example, delayed axial skeleton involvement after the onset in juvenile spondyloarthritis), radiological pattern and immunological markers in juvenile-onset rheumatic diseases. Timely active therapy with increasingly available innovative technologies, biological agents in particular, provides a successful disease-modifying effect, so when a patient with juvenile arthritis is transferred from his/her follow-up by a pediatrician to adult rheumatology service, there may be a wrong opinion about the performed redundant therapy and the expediency of its cancellation or correction, which sometimes leads to irreparable negative consequences. The used indices and other tools to assess the activity and functional status are fundamentally different in children and adults with joint inflammatory diseases. The paper presents a brief review of the current state of the problem and international experience with continuity in the follow-up of patients with juvenile arthritis between pediatric and adult rheumatology service.
About the Authors
I. P. Nikishina
V.A.Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
Irina Nikishina.
34A, Kashirskoe Shosse Moscow 115522
O. M. Kostareva
V.A.Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse Moscow 115522
References
1. Baranov AA, Alekseeva EI, editors. Revmaticheskie bolezni u detei: klinicheskie rekomendatsii dlya pediatrov. Soyuz pediatrov Rossii [Rheumatic diseases in children: clinical recommendations for pediatricians. Union of Pediatricians of Russia]. Moscow: Pediatr; 2016. 144 p. (In Russ.).
2. Petty R, Laxer R, Lindsley C, Wedderburn L. Textbook of pediatric rheumatology. 7 edi. Elsevier; 2016. 746 p. ISBN: 978-0-323-24145-8
3. Minutes of the rheumatology task force meeting, Expert Council, Ministry of Health of Russia, under No.11 Dated 18 October, 2014. Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2015;53(1):107-9 (In Russ.).
4. Collection of legislation of the Russian Federation, 07.05.2012, No. 19, art. 2428.
5. Sawhney S, Aggarwal A. Pediatric Rheumatology. A clinical viewpoint. Springer; 2017. 638 p. ISBN 978-981-10-1749-0. doi: 10.1007/978-981-10-1750-6
6. Poznanski AR, Hernandez RJ, Guire KE, et al. Carpal length in children – a useful measurement in the diagnosis of rheumatoid arthritis and some congenital malformations syndrome. Radiology. 1978;129;661-8.
7. EULAR Compendium on Rheumatic diseases. Editor JWJ Bijlsma. MMJ Publishing Group and EULAR; 2009. 1 ed. 824 p.
8. Consolaro A, Ruperto N, Bazco A, et al. Development and Validation of a Composite Disease Activity Score for Juvenile Idiopathic Arthritis. Arthritis Rheum. 2009;61(5):658-66. doi: 10.1002/art.24516
9. Nikishina I, Ruperto N, Kuzmina N, et al. The Russian version of the Childhood Health Assesment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol. 2001;19 Suppl. 23:s-131-5.
10. Brooks A, Smith P, Cohen R, et al. UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care. Gut. 2017;66:988-1000. doi: 10.1136/gutjnl-2016-313000
11. McDonagh JE. Young people first, juvenile idiopathic arthritis second: Transitional care in rheumatology. Arthritis Rheum. 2008;59:1162-70. doi: 10.1002/art.23928
12. Clemente D, Leon L, Foster H, et al. Transitional care for rheumatic conditions in Europe: current clinical practice and available resources. Ped Rheumatol. 2017;15:49. doi: 10.1186/s12969-017-0179-8
13. Clemente D, Leon L, Foster H, et al. Systematic review and critical appraisal of transitional care programmes in rheumatology. Semin Arthritis Rheum. 2016;46(3):372-9. doi: 10.1016/j.semarthrit.2016.06.003
14. Chira P, Ronis T, Ardoin S, White P. Transitioning youth with rheumatic conditions: perspectives of pediatric rheumatology providers in the United States and Canada. J Rheumatol. 2014;41(4):768-79. doi: 10.3899/jrheum.130615
15. Hilderson D, Moons P, Westhovens R, Wouters C. Attitudes of rheumatology practitioners toward transition and transfer from pediatric to adult healthcare. Rheumatol Int. 2012;32(12):3887-96. doi: 10.1007/s00296-011-2273-4
16. Nagra A, McGinnity PM, Davis N, Salmon AP. Implementing transition: ready steady go. Arch Dis Child Educ Pract Ed. 2015;100(6):313-20. doi: 10.1136/archdischild-2014-307423
17. Castrejon I. Тransitional Care Programs for Patients With Rheumatic Diseases: Review of the Literature. Reumatol Clin. 2012;8(1):20-6.
18. Kelly A, Niddrie F, Tunnicliffe D, et al. Patients’ Attitudes and Experiences of Transitional Care in Paediatric Rheumatology: A Systematic Review of Qualitative Studies. Arthritis Rheum. 2017;69 Suppl 10. Available at: http://acrabstracts.org/
19. Sawicki GS, Lukens-Bull K, Yin X, et al. Measuring the transition readiness of youth with special healthcare needs: Validation of the TRAQ – Transition Readiness Assessment Questionnaire. J Pediatr Psychol. 2011;36(2):160-71. doi: 10.1093/jpepsy/jsp128
20. Ferris М, Cohen S, Haberman M, et al. Self-Management and Transition Readiness Assessment: Development, Reliability, and Factor Structure of the STARx Questionnaire. J Pediatr Nurs. 2015;30(5):691-9.
21. Howland S, Fisher K. Looking through the patient lens – Improving best practice for young people with juvenile idiopathic arthritis transitioning into adult care. Springer Plus. 2015;4:111. doi: 10.1186/s40064-015-0888-8
22. Foster HE, Minden K, Clemente D, et al. EULAR/PReS standards and recommendations for the transitional care of young people with juvenile-onset rheumatic diseases. Ann Rheum Dis. 2016;76(4):639-46. doi: 10.1136/annrheumdis-2016-210112
23. McDonagh JE. Transition of care from paediatric to adult rheumatology. Arch Dis Child. 2007;92:802-7. doi: 10.1136/adc.2006.103796
Review
For citations:
Nikishina I.P., Kostareva O.M. JUVENILE ARTHRITIS IN PEDIATRIC AND ADULT RHEUMATOLOGY SERVICE: THE PROBLEM OF CONTINUITY IN THE MANAGEMENT OF PATIENTS. Rheumatology Science and Practice. 2018;56(2):138-143. (In Russ.) https://doi.org/10.14412/1995-4484-2018-138-143
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