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No difference in emergency department visits before and after transition for coeliac disease
  1. Norelle R Reilly1,2,
  2. Peter H R Green1,
  3. Jonas F Ludvigsson3,4
  1. 1Celiac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA
  2. 2Division of Pediatric Gastroenterology, Department of Pediatrics, Columbia University Medical Center, New York, New York, USA
  3. 3Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
  4. 4Department of Pediatrics, Örebro University Hospital, Örebro, Sweden
  1. Correspondence to Dr Jonas F Ludvigsson, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 17177 Stockholm, Sweden; jonasludvigsson{at}yahoo.com
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http://dx.doi.org/10.1136/gutjnl-2017-313882

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    In a recent consensus document, we and others presented recommendations for the transition of care from childhood to adulthood in coeliac disease (CD).1 Models of care transition share a goal of prevention of medical care lapses. Lower continuity of general paediatric care has been associated with greater risk of emergency department (ED) visits and hospitalisation.2 Yet patient vulnerability during and immediately following transition may be under-recognised. Poorer medical adherence has been noted for young adults with chronic illnesses during their transition to adult care.3 ,4 In a US study, ED visits comprised over 20% of the medical care of young adults, a significantly greater proportion than in other age groups.5 Young adults with sickle cell disease in the midst of transition to adult care had more ED visits when compared with those with stable paediatric care or who were able to successfully establish adult care.6

    To assess the transition burden on young …

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      Gut 2016; 65 1242-1251 Published Online First: 18 Apr 2016. doi: 10.1136/gutjnl-2016-311574