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Table 1 Transition practices in participating Nordic study sites

From: Transitioning patients with juvenile idiopathic arthritis to adult care: the Nordic experience

Transition practices

DEN/

Copenhagen

DEN/

Ã…rhus

FIN

Helsinki

NOR/

Tromsø

NOR/

Trondheim

SWE/

Multiple sites

1. A multidisciplinary team with appropriate education is responsible for the treatment and care of young people (YP) with juvenile idiopathic arthritis (JIA) during the transition process YES/NO

YES

YES

YES

YES

YES

YES

 a. paediatric rheumatologist

YES

YES

YES

YES

YES

YES

 b. paediatric rheumatologist nurse

YES

YES

YES

YES

YES

YES

2. The transition process starts well in advance in early adolescence (between 11 and 14 years, or immediately if the diagnosis is made later) YES/NO/ Varying

NO

YES

YES

YES

YES

Varying

3. Adolescents are first seen alone at the appointment and the parents join the visit later YES/NO/ Varying

NO

YES

YES

Varying

NO

Varying

4. The average age at transition YEAR

18

18

16

18

18

18

5. There is a transition program with special categories or a checklist to complete before the transferal to an adult clinic YES/NO

NO

YES

YES

YES

NO

NO

6. YP with JIA regularly fill in health-related questionnaires and estimate their VAS-values YES/NO

YES

YES

YES

YES

YES

YES

7. There are physiotherapist and/or psychologist and/or occupational therapist and/or rehabilitation counsellor services before the transferal YES/NO

      

 a. at least one of the above-mentioned services is mandatory for all

NO

YES

NO

YES

YES

NO

 b. if needed

YES

YES

YES

YES

YES

YES

8. Criteria for transition YES/NO

      

 a. all patients are transferred

NO

NO

NO

NO

NO

NO

 b. active disease/ongoing medication is needed

YES

YES

YES

YES

NO

YES

9. There is a specific transition clinic at the adult rheumatology clinic with engagement in adolescent rheumatology YES/NO

NO

YES

YES

No

YES

NO

10. There is direct communication with the paediatric and adult team before the actual transferal YES/NO

      

 a. for every YP with JIA

NO

YES

NO

NO

NO

NO

 b. for complex cases

YES

YES

YES

YES

YES

YES

11. YP with JIA visit the adult clinic in advance YES/NO/IF NEEDED

NO

YES

IF NEEDED

YES

YES

IF NEEDED

12. There are regular meetings with the paediatric and adult teams to evaluate the transition practise YES/NO/varying

YES

YES

YES

NO

YES

Varying

13. There is a freely accessible electronic webpage about transition YES/NO

NO

NO

YES

NO

NO

NO

  1. DEN Denmark, FIN Finland, NOR Norway, SWE Sweden