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F\u00fcr die vorliegende Analyse wurden ehemals kinderrheumatologisch betreute junge Erwachsene ab 20\u00a0Jahren ber\u00fccksichtigt. Erfasst wurden die aktuelle Versorgungssituation, patientenberichtete Outcomes, die Transitionskompetenz (Transitions-KompAZ) sowie das psychische Wohlbefinden (WHO-5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Von den 269 befragten jungen Erwachsenen mit JIA befanden sich 45\u202f% in fachspezifischer Betreuung. Rheumatologisch versorgte Teilnehmende wiesen eine h\u00f6here Transitionskompetenz auf (22,7 vs.\u00a019,0;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090,001), hatten h\u00e4ufiger eine \u00dcbergangssprechstunde genutzt (17\u202f% vs.\u00a09\u202f%) und kannten die Webseite \u201emein-rheuma-wird-erwachsen.de\u201c h\u00e4ufiger (33\u202f% vs.\u00a020\u202f%;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,013). Trotz vergleichbarer Krankheitslast erhielten nicht fachspezifisch Versorgte deutlich seltener krankheitsmodifizierende Antirheumatika (DMARDs; 18\u202f% vs.\u00a063\u202f%). Auch bei rheumatologisch Versorgten bestanden Versorgungsl\u00fccken: Zwischen der letzten kinderrheumatologischen und ersten internistisch-rheumatologischen Vorstellung lagen durchschnittlich 9,9\u00a0Monate. 35\u202f% hatten keinen zusammenfassenden Arztbericht erhalten, mehr als 40\u202f% waren mit der Vorbereitung auf den Betreuungswechsel unzufrieden. Insgesamt gab etwa jede bzw. jeder F\u00fcnfte relevante depressive Symptome an.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Zwischen den Empfehlungen zur strukturierten Transition und der tats\u00e4chlichen Versorgung bestehen weiterhin relevante Diskrepanzen. Krankheitswissen scheint ein zentraler Faktor f\u00fcr eine kontinuierliche rheumatologische Weiterbetreuung zu sein. Die Ergebnisse unterstreichen die Bedeutung einer fr\u00fchzeitigen Patientenedukation und besser integrierter Unterst\u00fctzungsangebote.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00393-026-01881-7","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:48:10Z","timestamp":1791528490000},"page":"692-703","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transition: Zwischen Anspruch und Versorgungsrealit\u00e4t","Transition: between recommendations and real-world care"],"prefix":"10.1007","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0090-5534","authenticated-orcid":false,"given":"Florian","family":"Milatz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Schalm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Minden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"issue":"2","key":"1881_CR1","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1002\/mpr.145","volume":"12","author":"P Bech","year":"2003","unstructured":"Bech\u00a0P, Olsen\u00a0LR, Kjoller\u00a0M, Rasmussen\u00a0NK (2003) Measuring well-being rather than the absence of distress symptoms: a\u00a0comparison of the SF-36\u00a0Mental Health subscale and the WHO-Five Well-Being Scale. 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