Transition of Children with Epilepsy to Adult Care: Current Status and Challenge Hidemoto Kubota 1 1National Hospital Organization, Shizuoka Institute of Epilepsy and Neurological Disorders Keyword: キャリーオーバー , トランジション , 移行期医療 , トランジション・クリニック , トランジションへの準備 , 学際的チーム , 自立 , transition , transition clinic , preparation for transition , multidisciplinary team , independence pp.1079-1089
Published Date 2017/10/1
DOI https://doi.org/10.11477/mf.1416200875
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Thirty percent of the patients consulting a pediatric neurologist have already reached adulthood as patients and their families do not like transfer to the adult clinics; moreover, there are no suitable clinics. Pediatric neurologists find it difficult to examine adult patients with childhood-onset epilepsy as they are unfamiliar with the psychiatric and psychological symptoms manifested in adulthood, and the common diseases of adulthood. On the other hand, adult neurologists have difficulty obtaining a complete picture of the patient's clinical history since childhood, and are unfamiliar with childhood-specific epilepsy syndrome. When it comes to transition, the patient's decision should be prioritized. Transition should be patient-centered, with cornerstones of flexibility, responsiveness, continuity, comprehensiveness, and coordination. For successful transition to occur, there must be psychosocial support, patient education, better medical system organization with inclusion of a transition process, such as transition clinic, increased number of epilepsy-specialized physicians/nurses, and resources such as checklists and programs to aid in transition.

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