{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:15:52Z","timestamp":1792782952635,"version":"4.5.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"13-14","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"University of Innsbruck and Medical University of Innsbruck","id":[{"id":"https:\/\/ror.org\/054pv6659","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Wien Med Wochenschr"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Einleitung<\/jats:title>\n                    <jats:p>Durch verbesserte Diagnostik und Therapie erreichen mehr Kinder und Jugendliche mit chronischen und seltenen Erkrankungen das Erwachsenenalter. Infolgedessen steigt der Bedarf an Erwachsenen-medizinischer weiterer Betreuung dieser Patientinnen und Patienten. In der vorliegenden Erhebung wurden die Patientinnen und Patienten an der Universit\u00e4tsklinik Innsbruck f\u00fcr P\u00e4diatrie (Bereiche: Gastroenterologie und Hepatologie, H\u00e4matologie und Onkologie, Nephrologie, Endokrinologie, Diabetologie, Rheumatologie, Neurop\u00e4diatrie, angeborene Stoffwechselst\u00f6rungen, Pneumologie und Allergologie, Kardiologie und Cystische Fibrose) erfasst, die einer Transition bed\u00fcrfen, als Grundlage f\u00fcr das Verbesserungspotenzial an der Schnittstelle zwischen P\u00e4diatrie und Erwachsenenmedizin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>\n                      Als Querschnittserfassung wurde die Anzahl der Patientinnen und Patienten der p\u00e4diatrischen Spezialbereiche f\u00fcr das Jahr 2023 erfasst. Die Gesamtanzahl (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200912.078) wurde eingeteilt in unter 16\u00a0Jahre (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20099635), zwischen 16\u00a0und 18\u00a0Jahren (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20091288) und \u00fcber 18\u00a0Jahre (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20091155). Zu den Herausforderungen der Transition wurden halbstrukturierte Interviews mit den Leitern und Leiterinnen der p\u00e4diatrischen Spezialbereiche bzw. mit einer Stellvertreterin oder einem Stellvertreter gef\u00fchrt.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Von den 12.078 Betroffenen waren im Bereich Angeborene Stoffwechselst\u00f6rungen 21,83\u202f% Patientinnen und Patienten und im Bereich Kardiologie (angeborene Herzfehler) 14,01\u202f% Patientinnen und Patienten \u00fcber 18\u00a0Jahre alt. In den Bereichen Cystische Fibrose und H\u00e4matologie und Onkologie lag der Anteil der \u00fcber 18-J\u00e4hrigen bei 53,87\u202f% bzw. 19,67\u202f%, wobei in diesen beiden Bereichen die Patientinnen und Patienten vereinbarungsgem\u00e4\u00df in p\u00e4diatrischer Betreuung verbleiben und die Betreuung dieser Patientinnen und Patienten einem klar definierten Transitionsprozess an der Klinik unterliegt. In den restlichen Bereichen wurde der Transitionsprozess bereits vollzogen. Die Interviews best\u00e4tigten die vorliegenden Zahlen, indem sie die Transition auf dem jeweiligen Stand beschrieben.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Zusammenfassend erfolgt die Transition bereits in einem Gro\u00dfteil der p\u00e4diatrischen Spezialbereiche. Ausbaupotenzial bieten die Bereiche Angeborene Stoffwechselst\u00f6rungen und Kardiologie, w\u00e4hrend die Bereiche Cystische Fibrose und H\u00e4matologie und Onkologie einem eigenen Transitionsmodell folgen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10354-026-01140-z","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T11:38:29Z","timestamp":1773833909000},"page":"332-339","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transition und Transfer von der P\u00e4diatrie in die Erwachsenenmedizin","Transition and transfer from pediatrics to adult medicine"],"prefix":"10.1007","volume":"176","author":[{"given":"Valentina","family":"Obermayr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Pichler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothea","family":"Appelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Binder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Geiger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Kapelari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Rabensteiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Sailer-H\u00f6ck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siegfried","family":"Waldegger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Zschocke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Scholl-B\u00fcrgi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4846-1047","authenticated-orcid":false,"given":"Daniela","family":"Karall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"1140_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-658-25237-3","volume-title":"Transition von der P\u00e4diatrie in die Erwachsenenversorgung","author":"N Hubenthal","year":"2019","unstructured":"Hubenthal\u00a0N, Zimmermann\u00a0M. 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