Thematic Area:  Transition to Adult Care

The following guidance document is endorsed by the Workgroup based on standardized reviews:

Transition from pediatric to adult renal services: Consensus statement by ISN and IPNA

Kidney Int 2011; 80:704-7.

Core Recommendations:

1. Transition structures should be implemented in all centers.
2. Transition should start between 10 and 14 years.
3. Core elements: Patient education, information transfer, assessment of transition readiness, family support, shared patient visits or conferences of pediatricians and nephrologists.
4. Adequate financing of transition is needed. 

Comments by Evaluators:

•  The guideline is more a Consensus Statement. 
•  More peer review is needed. 
•  Guideline has to be adopted to local health systems.  
•  Not all elements can be implemented everywhere due to restricted resources.