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TL;DR
It synthesizes evidence that formal transition programs improve clinical outcomes (e.g., graft survival, adherence) compared to unplanned transfers, and proposes practical models for implementation in the Indian context.
Indian Journal of Nephrology · 3 authors, 1 centre
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It synthesizes evidence that formal transition programs improve clinical outcomes (e.g., graft survival, adherence) compared to unplanned transfers, and proposes practical models for implementation in the Indian context.
The authors synthesize evidence from several observational studies showing that formal transition programs yield better outcomes than simple transfers: in Canada, 24% of simply transferred posttransplant patients experienced death or allograft loss within 2 years, compared to none in a formally transitioned group; in the UK, a joint transition clinic eliminated graft failures observed in historical controls. Patient-centered outcomes also favored transition programs, with 88% of AYAs valuing transition appointments. The authors note that cited studies were nonrandomized and measured only short-term outcomes. Practical suggestions include multidisciplinary transition clinics, formal education of trainees, and improved interdepartmental coordination within the Indian clinical setup.