Canadian Consensus Statements on the Transition of Adolescents and Young Adults with Inflammatory Bowel Disease from Pediatric to Adult Care: A Collaborative Initiative Between the Canadian IBD Transition Network and Crohn’s and Colitis Canada
Nancy Fu, Natasha Bollegala, Kevan Jacobson, Karen I. Kroeker, Karen Frost, Waqqas Afif, Wael El‐Matary, Sharyle Fowler, Anne M. Griffiths, H Huynh, Prévost Jantchou, Ahmer Karimuddin, Geoffrey C. Nguyen, Anthony Otley, Christina Pears, Cynthia H. Seow, Alène Toulany, Claudia Tersigni, Joanne Tignanelli, John K. Marshall, Monica Boctor, Tawnya Hansen, Chandni Pattni, Andrew Wong, Eric I. Benchimol
Abstract
Objectives: With the increased prevalence of childhood-onset inflammatory bowel disease (IBD), there is a greater need for a planned transition process for adolescents and young adults (AYA). The Canadian IBD Transition Network and Crohn's and Colitis Canada joined in collaborative efforts to describe a set of care consensus statements to provide a framework for transitioning AYA from pediatric to adult care. Methods: Consensus statements were drafted after focus group meetings and literature reviews. An expert panel consisting of 20 IBD physicians, nurses, surgeon, adolescent medicine physician, as well as patient and caregiver representatives met, discussed and systematically voted. The consensus was reached when greater than 75% of members voted in agreement. When greater than 75% of members rated strong support, the statement was rendered a strong recommendation, suggesting that a clinician should implement the statement for all or most of their clinical practice. Results: The Canadian expert panel generated 15 consensus statements (9 strong and 6 weak recommendations). Areas of focus of the statements included: transition program implementation, key stakeholders, areas of potential need and gaps in the research. Conclusions: These consensus statements provide a framework for the transition process. The quality of evidence for these statements was generally low, highlighting the need for further controlled studies to investigate and better define effective strategies for transition in pediatric to adult IBD care.