Abstract
Celiac disease (CD) is currently one of the most common chronic diseases affecting children adolescents and for which a transition to adult healthcare should be provided. A gradual transfer of medical care of an adolescent with CD to adult care is recommended. Children and adolescents with CD need to be sufficiently prepared for the transfer to adult care, and the process of transition needs to be well organized. The transition process should be based mainly on the collaboration between paediatrician/paediatric gastroenterologist and general practitioner/adult the gastroenterologist who should take care of the adolescents through this challenging phase. Importantly, adherence to the gluten -free diet (GFD) and the consequences of non-adherence should be essential to the discussion in a transition setting. Therefore, the transition process should offer the opportunity to improve the education of the patients on CeD management and their health from childhood, continuing into adolescence. To effectively enable the transition of paediatric CD patients, it is essential to ensure continuity of care. Implementing a systematic transition policy in CD has been limited by a lack of clinical guidelines based on outcome-related research and clear and consistent. In the absence of evidence-based recommendations, each institution bases its model on local factors. This chapter discusses the factors affecting the transition process, provide recommendations for the management of CD in adolescents and young adults and highlights the main points to optimize the transition to adult healthcare for patients with CD.
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Montoro-Huguet, M.A., Belloc-Barbastro, B. (2022). How to Organize the Transition from Paediatric Care to Adult Health Care. In: Amil-Dias, J., Polanco, I. (eds) Advances in Celiac Disease . Springer, Cham. https://doi.org/10.1007/978-3-030-82401-3_12
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DOI: https://doi.org/10.1007/978-3-030-82401-3_12
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