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Akre, Christina; Suris, Joan-Carles; Belot, Alexandre; Couret, Marie; Dang, Thanh-Thao; Duquesne, Agnes; Fonjallaz, Beatrice; Georgin-Lavialle, Sophie; Larbre, Jean-Paul; Mattar, Johannes; Meynard, Anne; Schalm, Susanne; Hofer, Michael (2018): Building a transitional care checklist in rheumatology: A Delphi-like survey. In: Joint Bone Spine, Vol. 85, No. 4: pp. 435-440
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Abstract

Objectives: To design a transitional care checklist to be used by and facilitate the work of health professionals in providing transitional care for children with a chronic rheumatologic disease and their families. Methods: A Delphi-like study among an international expert panel was carried out in four steps: (1) a working group of 6 specialists established a draft;(2) a web-survey among a panel of international experts evaluated it;(3) a 2-day consensus conference with an expert panel discussed items not reaching agreement;(4) a web-survey among the panel of international experts with the list of reformulated items. Results: The first draft of the checklist included 38 items in 3 phases of transition and 5 age groups. Thirty-three international experts evaluated the checklist reaching >= 80% agreement for 26 items and <= 80% for 12. The consensus conference of 12 experts discussed and redefined the 12 items. Twenty-five international experts filled out the web-survey and all items reached a minimum of 80% agreement except one. The final checklist was reached. Conclusions: This Delphi-like study defined what themes should be included and at what age they need to be addressed with patients with a chronic rheumatology disease and their families during transition. This checklist reached a strong international and interdisciplinary consensus while examining transition in a broad way. It should now be spread widely to health professionals to be used by all those who care for adolescents aged >= 12 years at times of transition. It could be transposed to most chronic conditions. Recommendations for further research are given.