Transitions in Care From Pediatric to Adult Endocrinology-Transitions in Care From Pediatric to Adult Endocrinology

Video Transcription

Video Summary

Summary: The video addresses the challenges of healthcare transition for young adults with type 1 diabetes or cancer. Dr. Agarwal emphasizes the need for a proactive and seamless transition of care to ensure optimal health outcomes and quality of life for young adults. She discusses the unique developmental period of emerging adulthood and the cognitive, educational, and social changes that occur during this time. Dr. Agarwal highlights the rising rates of diabetes among youth, particularly young adults with type 1 diabetes, and the increased risk they face for long-term complications and psychiatric comorbidities. She also addresses racial and ethnic disparities in young adults with diabetes. The interventions discussed include transition readiness, planning, ongoing care, and addressing psychological and social needs. Collaboration, communication, cultural competence, and addressing disparities are also emphasized. The video concludes by underscoring the need for continued research and innovation in healthcare transition for young adults with type 1 diabetes or cancer.<br /><br />Summary: The video highlights the challenges young adult survivors of childhood cancer face in receiving appropriate follow-up care. A survey found that only 18% reported receiving adequate care, and less than 50% had recent cancer-related outpatient follow-ups. The components of survivorship care, such as prevention, detection, intervention for late effects, coordination, and empowerment, are discussed. Transitional care for young adult survivors of thyroid cancer is specifically addressed, focusing on the importance of communication and effective transfer of medical history. Monitoring growth hormone deficiency and growth hormone therapy in transitioning patients are also highlighted for improving metabolic and quality of life outcomes. The need for a coordinated team approach and the challenges in prescribing growth hormone therapy by adult endocrinologists are mentioned.

Keywords

healthcare transition

young adults

type 1 diabetes

cancer

proactive care

seamless transition

optimal health outcomes

quality of life

racial disparities

transition readiness

survivorship care

growth hormone therapy


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