Resource use and costs of transitioning from paediatric to adult care for patients with chronic endocrine disease

Clin Endocrinol (Oxf)Published Prospective cohort study

Authors' conclusion

Using chronic endocrine diseases as an example, it shows how to calculate the time and cost of a structured transition pathway from paediatric to adult care, which can serve as a starting point for sustainable funding for other chronic rare diseases.

Study context

Population
Adolescents and young adults with chronic endocrinopathies in a structured transition pathway from paediatric to adult care143 completed
Participants
147 adolescents
Outcome
Resource consumption and costs of key elements of a structured transition pathway

Main finding

As reported in the abstract

Mean cumulative costs per patient of all key elements (Euros)

519 ± 206

Costs for case management (Euros)

104.8 ± 28.0

Mean time from decision to start transition to final transfer consultation (days)

399 ± 159

Duration of transfer consultations (min)

87.6 ± 23.7

Observational data: associations, not effects.

Further findings

Completion of transition pathway

Completed pathway and transferred to adult care
143 of 147 (97.3%)
Transfer consultations jointly with future adult endocrinologist
128 of 143
Median team members per consultation
3

Original publication

Resource use and costs of transitioning from paediatric to adult care for patients with chronic endocrine disease. Clin Endocrinol (Oxf). Published 21 June 2024. doi:10.1111/cen.15105

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