{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:55:06Z","timestamp":1760061306161,"version":"build-2065373602"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Zahl der Fr\u00fchgeborenen nimmt weltweit zu, und ihre medizinischen\n                        Bed\u00fcrfnisse sind oft komplex. Die Transition von der p\u00e4diatrischen zur\n                        Erwachsenenmedizin ist eine kritische Phase, die bei unzureichender\n                        Unterst\u00fctzung zu Problemen f\u00fchren kann. Besonders extrem Fr\u00fchgeborene stehen\n                        vor langfristigen gesundheitlichen Herausforderungen, die spezialisierte\n                        Betreuung erfordern.<\/jats:p><jats:p> Diese retrospektive Studie untersuchte, wie M\u00fctter den Transitionsprozess\n                        ihrer fr\u00fch- und reifgeborenen Kinder wahrnehmen. Wir pr\u00fcften, ob perinatale\n                        Faktoren wie niedriges Gestationsalter (GA) den Transitionsprozess und die\n                        \u00e4rztliche Versorgung im Erwachsenenalter beeinflussen. Zudem wurden\n                        H\u00e4ufigkeit \u00e4rztlicher Inanspruchnahme und Komorbidit\u00e4ten zwischen fr\u00fch- und\n                        reifgeborenen Erwachsenen verglichen. <\/jats:p><jats:p> Die Gutenberg Prematurity Study (GPS) analysierte retrospektiv 310 fr\u00fch- und\n                        296 reifgeborene Erwachsene (18\u201352 Jahre), eingeteilt in GA-Gruppen (\u226537,\n                        33\u201336, 29\u201332,\u226428 Wochen). Mithilfe multivariabler logistischer\n                        Regressionsanalysen wurden Zusammenh\u00e4nge zwischen perinatalen Faktoren,\n                        Transitionsbewertung und \u00e4rztlicher Versorgung untersucht. <\/jats:p><jats:p>M\u00fctter von Kindern mit einem GA von\u226428 sowie 29\u201332 Wochen bewerteten den\n                        Transitionsprozess negativer als M\u00fctter von Reifgeborenen. Die medizinische\n                        Versorgung f\u00fcnf Jahre nach der Transition wurde bei GA\u226428 Wochen ebenfalls\n                        signifikant schlechter eingesch\u00e4tzt. Extrem Fr\u00fchgeborene hatten h\u00e4ufiger\n                        Allgemeinarztbesuche und mehr Komorbidit\u00e4ten wie Hypertonie.<\/jats:p><jats:p>\u00dcbergangsprogramme sollten gezielt auf die Bed\u00fcrfnisse extrem Fr\u00fchgeborener\n                        abgestimmt werden, um die langfristige medizinische Betreuung zu verbessern\n                        und Komorbidit\u00e4ten fr\u00fchzeitig zu erkennen. <\/jats:p>","DOI":"10.1055\/a-2685-7208","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T22:43:33Z","timestamp":1760049813000},"source":"Crossref","is-referenced-by-count":0,"title":["Wahrnehmung des Transitionsprozesses von der p\u00e4diatrischen zur\n                    Erwachsenenmedizin bei Fr\u00fch- und Reifgeborenen"],"prefix":"10.1055","author":[{"given":"Achim","family":"Fie\u00df","sequence":"first","affiliation":[{"name":"Augenklinik, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Gi\u00dfler","sequence":"first","affiliation":[{"name":"Augenklinik, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander K","family":"Schuster","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Winter","sequence":"additional","affiliation":[{"name":"Neonatologie, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Urschitz","sequence":"additional","affiliation":[{"name":"Neonatologie, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Mildenberger","sequence":"additional","affiliation":[{"name":"Neonatologie, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alica","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsmedizin der Johannes\n                    Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2162","DOI":"10.1016\/s0140-6736(12)60820-4","article-title":"National, regional, and worldwide estimates of preterm birth rates in the year\n                    2010 with time trends since 1990 for selected countries: a systematic analysis\n                    and implications","volume":"379","author":"H Blencowe","year":"2012","journal-title":"Lancet (London, England)"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1213\/ane.0000000000000705","article-title":"Outcomes for extremely premature infants","volume":"120","author":"H C Glass","year":"2015","journal-title":"Anesthesia and analgesia"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2359","DOI":"10.1111\/apa.15885","volume-title":"Considerable mortality and morbidity in neonates born below 500 gram","author":"K Goeral","year":"2021"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1542\/peds.2010-0710","article-title":"Adult Outcome of Extremely Preterm Infants","volume":"126","author":"L W Doyle","year":"2010","journal-title":"Pediatrics"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1093\/aje\/kwq440","article-title":"Risk of hypertension among young adults who were born preterm: a Swedish\n                    national study of 636,000 births","volume":"173","author":"C Crump","year":"2011","journal-title":"American journal of epidemiology"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.jacc.2020.04.072","article-title":"Pre-Term Delivery and Risk of Ischemic Heart Disease in Women","volume":"76","author":"C Crump","year":"2020","journal-title":"Journal of the American College of Cardiology"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102108","article-title":"Gestational age at birth and hospitalisations for infections among individuals\n                    aged 0\u201350 years in Norway: a longitudinal, register-based, cohort study","volume":"62","author":"S M Nilsen","year":"2023","journal-title":"eClinicalMedicine"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1136\/jnnp.2005.075465","article-title":"Neurological abnormalities in young adults born preterm","volume":"77","author":"M Allin","year":"2006","journal-title":"Journal of neurology, neurosurgery, and psychiatry"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.1001\/archgenpsychiatry.2011.1374","article-title":"Preterm birth and psychiatric disorders in young adult life","volume":"69","author":"C Nosarti","year":"2012","journal-title":"Archives of general psychiatry"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1038\/pr.2013.205","article-title":"Preterm-associated visual impairment and estimates of retinopathy of prematurity\n                    at regional and global levels for 2010","volume":"74","author":"H Blencowe","year":"2013","journal-title":"Pediatric research"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1016\/j.jpeds.2011.05.038","article-title":"Transition to adult care: systematic assessment of adolescents with chronic\n                    illnesses and their medical teams","volume":"159","author":"J S Huang","year":"2011","journal-title":"The Journal of pediatrics"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1542\/peds.2011-0969","article-title":"Supporting the Health Care Transition From Adolescence to Adulthood in the\n                    Medical Home","volume":"128","author":"American Academy of Pediatrics AAoFP","year":"2011","journal-title":"Pediatrics"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"197","DOI":"10.7861\/clinmedicine.12-3-197","article-title":"Growing up: the role of the Royal College of Physicians","volume":"12","author":"J E McDonagh","year":"2012","journal-title":"Clinical medicine (London, England)"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1177\/2150131917697439","article-title":"How Socioeconomic Status Affects Patient Perceptions of Health Care: A\n                    Qualitative Study","volume":"8","author":"N C Arpey","year":"2017","journal-title":"Journal of Primary Care & Community Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1146\/annurev.soc.012809.102529","article-title":"Socioeconomic Disparities in Health Behaviors","volume":"36","author":"F C Pampel","year":"2010","journal-title":"Annual review of sociology"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.ajo.2022.07.019","article-title":"Peripapillary Retinal Nerve Fiber Layer Thickness in Adults Born Extremely,\n                    Very, and Moderately Preterm With and Without Retinopathy of Prematurity:\n                    Results From the Gutenberg Prematurity Eye Study (GPES)","volume":"244","author":"A Fie\u00df","year":"2022","journal-title":"American journal of ophthalmology"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1716","DOI":"10.1097\/iae.0000000000003501","article-title":"RETINAL THICKNESS AND FOVEAL HYPOPLASIA IN ADULTS BORN PRETERM WITH AND WITHOUT\n                    RETINOPATHY OF PREMATURITY: The Gutenberg Prematurity Eye Study","volume":"42","author":"A Fie\u00df","year":"2022","journal-title":"RETINA"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1167\/iovs.65.6.23","article-title":"Sex-Specific Differences in the Relationship Between Prematurity and Ocular\n                    Geometry","volume":"65","author":"A Fie\u00df","year":"2024","journal-title":"Investigative Ophthalmology & Visual Science"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1136\/bjophthalmol-2021-320907","article-title":"Ocular geometry in adults born extremely, very and moderately preterm with and\n                    without retinopathy of prematurity: results from the Gutenberg Prematurity Eye\n                    Study","volume":"107","author":"A Fie\u00df","year":"2023","journal-title":"British Journal of Ophthalmology"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1016\/j.placenta.2022.07.014","article-title":"Placental dysfunction: The core mechanism for poor neurodevelopmental outcomes\n                    in the offspring of preeclampsia pregnancies","volume":"126","author":"D Liu","year":"2022","journal-title":"Placenta"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"105467","DOI":"10.1016\/j.earlhumdev.2021.105467","article-title":"Early extubation is associated with shorter duration of mechanical ventilation\n                    and lower incidence of bronchopulmonary dysplasia","volume":"163","author":"F S\u00f6derstr\u00f6m","year":"2021","journal-title":"Early Human Development"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"101011","DOI":"10.1016\/j.lanwpc.2024.101011","article-title":"Five-minute Apgar score and risk of neonatal mortality, severe neurological\n                    morbidity and severe non-neurological morbidity in term infants \u2013 an Australian\n                    population-based cohort study","volume":"44","author":"J Hong","year":"2024","journal-title":"The Lancet regional health Western Pacific"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/1746-4358-1-13","article-title":"Benefits and challenges of transitioning preterm infants to at-breast\n                    feedings","volume":"1","author":"K M Buckley","year":"2006","journal-title":"International Breastfeeding Journal"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1055\/s-2007-965047","article-title":"Analyse des Neugeborenenkollektivs der Bundesrepublik Deutschland","volume":"67","author":"M Voigt","year":"2007","journal-title":"Geburtshilfe Und Frauenheilkunde \u2013 GEBURTSH\n                    FRAUENHEILK"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1016\/j.colegn.2024.08.002","article-title":"The use of joint consultations in the transition from child to adult outpatient\n                    clinic within type 1 diabetes care: A qualitative study","volume":"31","author":"N K Gylling","year":"2024","journal-title":"Collegian"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1951","DOI":"10.1007\/s00431-022-04385-z","article-title":"Health care transition from pediatric to adult care: an evidence-based\n                    guideline","volume":"181","author":"L Pape","year":"2022","journal-title":"European Journal of Pediatrics"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"105415","DOI":"10.1016\/j.childyouth.2020.105415","article-title":"Systematic narrative review of pediatric-to-adult care transition models for\n                    youth with pediatric-onset chronic conditions","volume":"118","author":"H Marani","year":"2020","journal-title":"Children and Youth Services Review"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"147.e141","DOI":"10.1016\/j.ajog.2006.09.014","article-title":"Trends in neonatal morbidity and mortality for very low birthweight infants","volume":"196","author":"A A Fanaroff","year":"2007","journal-title":"American journal of obstetrics and gynecology"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/S1068-8595(95)80012-3","article-title":"Gender, social roles and health care utilization","volume":"3","author":"J L David","year":"1995","journal-title":"Applied Behavioral Science Review"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.ijnurstu.2013.02.001","article-title":"Adolescents&apos; and young adults&apos; transition experiences when\n                    transferring from paediatric to adult care: a qualitative metasynthesis","volume":"51","author":"L Fegran","year":"2014","journal-title":"International journal of nursing studies"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1542\/peds.2012-3050","article-title":"Current status of transition preparation among youth with special needs in the\n                    United States","volume":"131","author":"M A McManus","year":"2013","journal-title":"Pediatrics"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1093\/jpepsy\/jsx142","article-title":"Barriers to Transition From Pediatric to Adult Care: A Systematic Review","volume":"43","author":"W N Gray","year":"2017","journal-title":"Journal of Pediatric Psychology"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1001\/jamapediatrics.2016.0810","article-title":"Evolution of Depression and Anxiety Symptoms in Parents of Very Preterm Infants\n                    During the Newborn Period","volume":"170","author":"C C Pace","year":"2016","journal-title":"JAMA Pediatrics"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"115374","DOI":"10.1016\/j.psychres.2023.115374","article-title":"Recalled parental rearing behavior shapes mental health after preterm birth:\n                    Evidence from the Gutenberg Prematurity Study","volume":"327","author":"M Ernst","year":"2023","journal-title":"Psychiatry research"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"2333794x17744946","DOI":"10.1177\/2333794x17744946","article-title":"Transitions From Pediatric to Adult Care","volume":"4","author":"C Castillo","year":"2017","journal-title":"Global pediatric health"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"i64","DOI":"10.1136\/bmjqs-2013-002364","article-title":"Improving transition from paediatric to adult cystic fibrosis care: programme\n                    implementation and evaluation","volume":"23","author":"M J Okumura","year":"2014","journal-title":"BMJ quality & safety"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"652358","DOI":"10.3389\/fmed.2021.652358","article-title":"Challenges in Transition From Childhood to Adulthood Care in Rare Metabolic\n                    Diseases: Results From the First Multi-Center European Survey","volume":"8","author":"K M Stepien","year":"2021","journal-title":"Frontiers in medicine"}],"container-title":["Klinische P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2685-7208.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T22:43:34Z","timestamp":1760049814000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2685-7208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,9]]},"references-count":37,"URL":"https:\/\/doi.org\/10.1055\/a-2685-7208","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"value":"0300-8630","type":"print"},{"value":"1439-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,9]]}}}