Transition to adult medical care for adolescents with epilepsy |
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| Affiliation: | 1. Epilepsy Center Kempenhaeghe, P.O. Box 61, NL-5590 AB Heeze, The Netherlands;2. Department of Electrical Engineering, University of Technology, P.O. Box 513, NL-5600 MB Eindhoven, The Netherlands;3. Department of Neurology, Maastricht University Medical Center, P.O. Box 616, NL-6200 MD Maastricht, The Netherlands;4. Department of Neurology, Ghent University Hospital, 1K12-IA De Pintelaan 185, 9000 Gent, Belgium;1. Child and Adolescent Neurology Service, Department of Pediatrics, Faculty of Medicine, University of Antioquia, Calle 18 B Sur No. 38 – 51, Medellín, Colombia;2. Adult Neurology Service, Department of Internal Medicine, Faculty of Medicine, University of Antioquia, Cra. 51d # 62-29, Medellín, Colombia;1. College of Nursing, Medical University of South Carolina, United States;2. Comprehensive Epilepsy Program, Medical University of South Carolina, United States;3. Department of Pediatrics, Medical University of South Carolina, United States;4. Department of Public Health Sciences, Medical University of South Carolina, United States;5. Department of Neurosurgery, Medical University of South Carolina, United States;6. Department of Neurosciences, Medical University of South Carolina, United States;1. University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, CO;2. Department of Family Services, Children''s Hospital Colorado, Aurora, CO;3. Neurology Clinic, Children''s Hospital Colorado, Aurora, CO;4. Division of Child Neurology, University of Colorado School of Medicine, Anschutz Medical Campus, Children''s Hospital Colorado, Aurora, CO;1. Minnesota Epilepsy Group, P.A., 225 Smith Avenue North, Suite 201, St. Paul, MN 55102, United States;2. Minnesota School of Professional Psychology at Argosy University, 1515 Central Parkway, Eagan, MN 55121, United States |
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| Abstract: | IntroductionDuring transition to adult medical care, the adolescent with epilepsy is especially prone to emotional, mental, physical, and social developmental difficulties, leading to stigma and poor psychosocial and socioeconomic outcome in the long term.ObjectivesThe aim of this review is twofold: to describe the psychosocial and medical transition from adolescence to adulthood and to evaluate the most effective model for transitional services in adolescents with epilepsy.MethodsWe searched PubMed for quantitative and qualitative data about transition from adolescence to adulthood in patients with epilepsy.ResultsA total of 49 articles were retrieved. We reviewed personal, psychosocial, and medical issues during transition and their long-term individual and societal consequences. Identifying risk factors for poor transition can lead to appropriate interventions for patients and their family. Although the concept of multidisciplinary transition care for adolescents with epilepsy is widely recognized, only a few transition clinics have been established. There is lack of evidence for their quality and cost-effectiveness.ConclusionIn addition to medical problems, more attention should be paid to the risk of psychosocial problems during transition from pediatric to adult care. The implementation of transition care for adolescents with epilepsy is considered beneficial; however, its effectiveness should be further investigated. |
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