Abstract: PUB464
Factors Associated with Successful Transition from Pediatric to Adult Nephrology
Session Information
Category: Pediatric Nephrology
- 1900 Pediatric Nephrology
Authors
- Nishi, Laura, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States
- Kang, Jay Hyun, Northwestern Memorial HealthCare, Chicago, Illinois, United States
- Ghossein, Cybele, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States
Background
Young adults (YA) aged 18-26 with chronic kidney disease face challenges when transitioning from pediatric to adult care. To improve successful transition (ST) rates, Northwestern Medicine (NM) partnered with Lurie Children’s Hospital to implement a transition of care program. To better understand risk factors for failure to transition, we retrospectively reviewed our 8-year clinic data.
Methods
YA seen in the transition clinic between 2014-2022 were included in the analysis. ST was defined as one visit to NM. We compared baseline kidney function, insurance, distance from clinic, average household income, and pediatric no-show rate for those YA who ST to those who did not.
Results
166 total patients were seen, with 154 patients being eligible to transition. 92% of patients ST and 8% were lost to follow up (Table 1). YA who ST had lower baseline kidney function and were more likely to have private insurance. Those who did not ST were more likely to have no insurance. The other factors were not significantly correlated with ST.
Conclusion
Based on our retrospective study, baseline kidney function and insurance status are associated with ST in YA with kidney disease. Further prospective studies are needed to confirm our findings in this high-risk population.