"Transend" is a program designed to promote the transition of young patients with endocrine or metabolic diseases when they arrive in the adult sector at La Pitié-Salpétrière hospital. The main objective of the study is to compare the rate of patients lost to follow-up at 24 months after the transfer of pediatrics between the Transend group and the (historical) control group.
Adolescence and early adulthood represent important periods for young people suffering from chronic diseases. Several observational studies show needs not covered by care services at this period and significant lost to follow-up rates. "Transend" is a program designed to promote the transition of young patients with endocrine or metabolic diseases when they arrive in the adult sector at La Pitié-Salpétrière hospital (Paris, France). Since September 1, 2016, approximately 500 patients benefited from it.
Study Type
OBSERVATIONAL
Enrollment
202
Behavioral study of patients who are in the "Transend" Program (compliance in follow-up visits after transfert from pediatric to adult care in the 24 months)
Chef du Service d'Endocrinologie et Médecine de le Reproduction, Hôpital de la Pitié-Salpêtrière
Paris, France
Rate of patients lost to follow-up at 24 months post transfert
Defined by pathology as patients who have not been seen in a medical consultation since a time superior of the recommendation for his state of Heath at 24 months post-transfer and for whom no elements confirm a next consultation in the center nor a follow-up in another center
Time frame: 24 months post transfert
Number of consultations not honored by the patient
Experimental group: patients transferred to adult service according to the Transend transition program (between September 2016 and January 2018) Control group: patients transferred to adult service without a transition program, in the same center, before the implementation of Traansend (between January 2015 and September 2016)
Time frame: 24 to 36 months post transfert
Relationship of trust between caregiver and patient
Score calculated by wake Forest scaleis a validated scale of 10 items for the evaluation of the different components of trust.including 3 items on loyalty, 3 items on competence, 1 item on honesty and 3 items on global trust. (short version) resulting from an evaluation anonymously made by patients
Time frame: 24 to 36 months post transfert
Time to first consultation in adult medicine
Experimental group: patients transferred to adult service according to the Transend transition program (between September 2016 and January 2018) Control group: patients transferred to adult service without a transition program, in the same center, before the implementation of Traansend (between January 2015 and September 2016)
Time frame: 24 to 36 months post transfert
Patient satisfaction
Satisfaction collected on a scale of 0 to 10 where 0 means the worst transfer imaginable resulting an anonymous assessment carried out by the Patients
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 24 to 36 months post transfet
Avoided care consumption and associated costs
Costs associated with hospital emergency room visits, home visit of SOS doctor, unplanned hospitalization
Time frame: 24 to 36 months post transfret
Compare the experience of the transition betmeen the two Groups
Frequency of feeling broken, continuity, need to contact the paediatrician, attention and perceived availability on the part of professionals on arrival in the adult hospital
Time frame: 24 to 36 months post transfret
Assess Transend's efficiency
Cost/incremental cost-effectiveness ratio in cost gained and cost per loss of view
Time frame: 24 to 36 months post transfret