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Bridging the gaps

transition for young people with cancer
  • R. Viner
    Correspondence
    Tel.: +44-207-380-9445; fax: +44-207-636-2144
    Affiliations
    Department of Paediatrics, The Middlesex Hospital (University College London Hospitals Trust), Mortimer Street, London W1N 8AA, UK
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      Gaps are an inevitable outcome of the organisation of patient care around age bands, specialities and diseases. One such gap, that between child and adolescent health services and adult medical care, is particularly problematic for those whose medical problems begin in childhood and continue into adult life [
      • Viner R.M.
      Transition from paediatric to adult care. Bridging the gaps or passing the buck?.
      ]. These ‘transition’ issues are beginning to be addressed in classic chronic illnesses, such as asthma [
      • Sawyer S.
      • Blair S.
      • Bowes G.
      Chronic illness in adolescents transfer or transition to adult services?.
      ] and diabetes [
      • Sawyer S.
      The process of transition to adult health care services.
      ]. They have additionally been given particular emphasis by the survival into adult life of cohorts with conditions once considered confined to childhood, such as cystic fibrosis, congenital heart disease [
      • Sommerville J.
      Near misses and disasters in the treatment of grown-up congenital heart patients.
      ] and metabolic conditions. The appropriate management of transition is now recognised as part of high quality care of adolescents with chronic conditions [
      • Sommerville J.
      Near misses and disasters in the treatment of grown-up congenital heart patients.
      ].
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