Transition of Care

Transition of Care
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Описание книги

Pediatricians face many questions and challenges during patients’ transition from childhood to adulthood. Chronic diseases justify long-term medical, psychological, educational, and social management. The establishment of networks with adult endocrinologists is, therefore, very important to achieving optimal conditions for a successful transition period. In this book, leading experts discuss major public health issues such as diabetes and obesity. They also review genetic diseases, including Turner syndrome and congenital adrenal hyperplasia. All clinical cases are presented in a focused way to highlight any issues which might be discussed by the doctor with patients and family. Psychological approaches are debated as are proposals for defining specific tools to encourage autonomy during this life period. This book is a valuable tool and will be helpful in answering many questions for endocrinologists, adult and pediatric, dedicated to the long-term management of patients with chronic diseases.

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Группа авторов. Transition of Care

Endocrine Development

Transition of Care. From Childhood to Adulthood in Endocrinology, Gynecology, and Diabetes

Contents

Preface

Challenges of the Transition from Pediatric Care to Care of Adults: “Say Goodbye, Say Hello”

Abstract

Defining Characteristics of Transition and Transfer

The Number of Young People with Chronic Illnesses Is Increasing

Challenges Coming from the Pediatrician

Challenges Coming from the Adolescent

Challenges Linked to the Disease Itself

Challenges Coming from the Parents

The Role of the Pediatrician: To Prepare the Adolescent and Find the Referral Physician for Adult Medicine

The Right Moment of the Transfer?

Conclusions for a Successful Transition

References

“Child-Adult” Transition – Adolescence: When Illness Appears…

Abstract

Psycho-Emotional Development of the Child

Psychological Challenges of Physical and Pubertal Transformations

When Diabetes Appears…

Conclusion

References

Transition of Care from Childhood to Adulthood: Congenital Adrenal Hyperplasia

Abstract

Therapeutic Managements during Transition between Pediatric and Adult Health Care

Management of Classic CAH in Adolescents and Adults. Female-Specific Issues

Male-Specific Issues

Long-Term Consequences of Glucocorticoid Treatment. CV Risk and Risk Factors

Bone Mineral Density

Health-Related QoL

Assessment of Adolescents and Adults during Transition from Pediatric Care

Management of Transition in Patients with Nonclassic CAH

Conclusions

Case History

Key Learning Points

References

Transition of Care from Childhood to Adulthood: Turner Syndrome

Abstract

The Diagnosis of TS

Age of Diagnosis

Timing of Puberty and Transition for Girls with TS

Induction of Puberty: Timing and Type of Oestrogen

Neurocognitive Aspect of TS Relating to Transition

Timing of Transition and Life Events

Resources for Transition Relating to TS

Case History

Commentary

Key Learning Points

References

Growth Hormone Deficiency in the Transition Age

Abstract

Discussion

Case History

Key Learning Points

References

Management of Hypothalamic Obesity during Transition from Childhood to Adulthood

Abstract

Defining the Framework

Issues during Transition from Childhood to Adulthood

Organization of the Transition to Adult Care in HO

Bariatric Surgery and HO

Conclusion

Case History

Transition Period

Key Learning Points

References

Transitions in Care from Pediatric to Adult Health Care Providers: Ongoing Challenges and Opportunities for Young Persons with Diabetes

Abstract

Developmental Stages of Adolescence and Emerging Adulthood: Transition and Transfer

Insights from the Literature on Transition in Type 1 Diabetes. Health Care Utilization and Outcomes

Transition Preparation and Experiences

The Provider Perspective

Interventional Approaches

Transition in Practice

Type 2 Diabetes in Adolescents and Transition

Conclusion

Case History

Key Learning Points

References

Transition of Care from Childhood to Adulthood: Congenital Hypogonadotropic Hypogonadism

Abstract

HPG Axis and Puberty

Challenges for Identifying CHH

Effects of CHH on Health and Well-Being

Treatment and Care of Patients with CHH

Transitional Care of Patients with CHH

Challenges and Future Directions

Conclusions

Case History. Presentation and History

Evaluation: What Is Causing the Lack of Pubertal Development?

Treatment 1: Can Puberty Be Triggered?

Treatment 2: Can Testicular Growth and Fertility Be Developed?

Follow-Up and Other Transitional Care Issues

Conclusion

Key Learning Points

References

The Transition from Paediatric to Adult Care for Youths with Thyroid Diseases: Outcome Issues and Challenges

Abstract

Outcome in Young Adults: Medical Management and Challenges. Congenital Hypothyroidism

Treatment Adequacy

Cognition, Socio-Educational Attainment, Quality of Life, and Behaviour

Growth, Puberty, Fertility, and Pregnancy Outcome

Body Composition, Metabolic and Cardiovascular Health

Associated Chronic Diseases and Neurosensory Impairment

Graves Disease

Treatment Monitoring

Risk Outcomes during Pregnancy and Prepregnancy Counselling

Long-Term Outcome

Conclusion

Case History

Key Learning Points

References

Transition in Pediatric and Adolescent Hypogonadal Girls: Gynecological Aspects, Estrogen Replacement Therapy, and Contraception

Abstract

Pubertal Milestones

Normal Variation in Onset and Progression of Puberty

Activation of the Hypothalamic-Pituitary-Gonadal Hormone Axis

Trends in Pubertal Timing

Precocious Puberty and Normal Variants of Early Puberty

Premature Thelarche

Premature Adrenarche

Pubertal Delay versus Hypogonadotropic Hypogonadism

Primary Hypogonadism in Adolescence

Puberty Induction in Hypogonadal Girls

Constitutional Delay in Puberty

Primary or Secondary Hypogonadism

Transition in TS

Contraception in Adolescent Hypogonadal Girls

Gynecological Issues in Adolescent Girls

Fertility Preservation in Adolescent Girls (with TS)

Case History

Diagnostic Procedures

Childhood Treatment and Monitoring

The HPG Hormone Axis

Fertility Issues

Key Learning Points

Further Reading

References

Fertility Preservation in Endocrine Disorders during Transition for Girls

Abstract

Techniques for Female FP

Cryopreservation of Ovarian Tissue

Oocyte Cryopreservation after COS

Cryopreservation of Embryo

In vitro Maturation of Oocytes

Future Techniques of FP

Egg Donation

Indications of FP for Young Girls. Premature Ovarian Insufficiency

Markers of the Ovarian Reserve in Childhood

Gonadotoxic Treatments

Systemic Diseases

Sickle Cell Anemia

Iterative Ovarian Surgeries

Endocrine or Genetic Disorders

Turner Syndrome

Other Chromosomal Abnormalities

Congenital Galactosemia

Hypogonadism

Risk of Pregnancy and Genetic Counseling

Ethical Concerns

Conclusion

Case History

Background

Medical Intervention

Modified Natural Cycle Protocol

Outcome and Follow-Up

Discussion

Patient Consent

Key Learning Points

References

Fertility Preservation in Klinefelter Syndrome Patients during the Transition Period

Abstract

Fertility in KS Patients

Fertility Preservation in KS Patients: Is It Feasible and Accessible?

Case History

Key Learning Points

References

Author Index

Subject Index

Отрывок из книги

Vol. 33

Series Editor

.....

149, rue de Sèvres, FR–75015 Paris (France)

E-Mail michel.polak@aphp.fr

.....

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