Current transition management of adolescents and young adults with allergy and asthma: a European survey

Clinical and Translational Allergy

M. Hazel Gowland¹  Helena Pite²  Silvia Sanchez-Garcia³  Audrey DunnGalvin⁴  Pasquale Comberiati⁵  Britt Jensen⁶  Charlotte G. Mortz⁶  Oliver Pfaar⁷  Valerie Hox⁸  Katharina Blumchen⁹  Rebecca C. Knibb^1,10  Alexandra F. Santos^1,11  Ekaterina Khaleva^1,12  Cherry Alviani^1,13  Graham Roberts^1,14  Frans Timmermans^1,15  Elizabeth Angier^1,16  Marta Vazquez-Ortiz^1,17  Claudia Gore^1,18  Bettina Duca^1,18  Teresa Garriga-Baraut^1,19 

[1] Allergy Action, St Albans, UK;Allergy Center, CUF Descobertas Hospital and CUF Infante Santo Hospital, Lisbon, Portugal;CEDOC, Chronic Diseases Research Center, NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal;Allergy Department, Hospital Infantil Universitario del Niño Jesús, Madrid, Spain;Applied Psychology and Paediatrics and Child Health, University College Cork, Cork, Ireland;Paediatrics and Child Infectious Diseases, First Moscow State Medical University, Moscow, Russia;Department of Clinical and Experimental Medicine, Section of Paediatrics, University of Pisa, Pisa, Italy;Department of Clinical Immunology and Allergology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia;Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, Odense, Denmark;Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany;Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Saint-Luc, Brussels, Belgium;Department of Paediatric and Adolescent Medicine, Paediatric Pneumology, Allergology and Cystic Fibrosis, University Hospital Frankfurt, Frankfurt Am Main, Germany;Department of Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK;Department of Women and Children’s Health (Paediatric Allergy, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King’s College London, London, UK;Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College London, London, UK;Children’s Allergy Service, Guy’s and St Thomas’ Hospital, London, UK;Asthma UK Centre in Allergic Mechanisms of Asthma, London, UK;Faculty of Medicine, University of Southampton, Southampton, UK;Faculty of Medicine, University of Southampton, Southampton, UK;The David Hide Asthma and Allergy Research Centre, St Mary’s Hospital, Isle of Wight, UK;Faculty of Medicine, University of Southampton, Southampton, UK;The David Hide Asthma and Allergy Research Centre, St Mary’s Hospital, Isle of Wight, UK;NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK;Nederlands Anafylaxis Netwerk – European Anaphylaxis Taskforce, Dordrecht, The Netherlands;Primary Care and Population Sciences, University of Southampton, Southampton, UK;Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK;Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK;Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK;Unitat d’Allergologia Pediàtrica, Hospital Universitari Vall d’Hebron, Barcelona, Spain;Grup d’Investigació “Creixement i Desenvolupament”, Institut de Recerca de l’Hospital Universitari Vall d’Hebron (VHIR), Barcelona, Spain;

关键词: Adolescent;    Allergy;    Healthcare professional;    Transition;    Young adult;   

DOI  :  10.1186/s13601-020-00340-z

来源: Springer

【 摘 要 】

BackgroundTransition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking.MethodsEuropean HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources.ResultsA total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma.ConclusionAlthough there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.

【 授权许可】

CC BY