{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:00:54Z","timestamp":1785452454459,"version":"3.56.0"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Transition beschreibt den strukturierten Prozess, in dem Jugendliche aus einer kinder- und familienzentrierten, damit \u00fcberwiegend fremdbestimmten Versorgung in eine patientenzentrierte, selbstbestimmte Erwachsenenbetreuung \u00fcberf\u00fchrt werden. Bei Spina bifida (SB) ist die Transition aus urologischer Sicht besonders relevant, da neurogene Blasen- und Darmfunktionsst\u00f6rungen h\u00e4ufig eine chronische medikament\u00f6se Therapie, ein dauerhaftes Blasenmanagement (inkl. intermittierender Selbstkatheterisierung) sowie eine lebenslange \u00dcberwachung der Nieren- und Blasenfunktion erfordern. Gleichzeitig erschweren k\u00f6rperliche Einschr\u00e4nkungen sowie h\u00e4ufig beeintr\u00e4chtigte kognitive Steuerungs- und Planungsf\u00e4higkeiten die Entwicklung von Selbstmanagement und Compliance. Da Menschen mit SB eine gro\u00dfe Variabilit\u00e4t in ihren individuellen Voraussetzungen und Bed\u00fcrfnissen aufweisen, bed\u00fcrfen sie eines individualisierten Transitionsplans. Dabei profitieren sie von einer verl\u00e4sslichen und festen Anbindung an ein Zentrum. Nur dadurch kann ein sicherer \u00dcbergang in die erwachsenenzentrierte Weiterbetreuung gew\u00e4hrleistet werden. W\u00fcnschenswert w\u00e4re es, wenn dies die Medizinischen Zentren f\u00fcr Erwachsene mit Behinderung (MZEB) in Zusammenarbeit mit auf SB-Patienten spezialisierten urologischen Zentren gew\u00e4hrleisten.<\/jats:p>","DOI":"10.1055\/a-2875-4321","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:10:08Z","timestamp":1781651408000},"page":"360-365","source":"Crossref","is-referenced-by-count":0,"title":["Transition bei neurogener Blasenfunktionsst\u00f6rung: Versorgungsl\u00fccken und Herausforderungen im Erwachsenenalter"],"prefix":"10.1055","volume":"57","author":[{"given":"Raimund","family":"Stein","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Heidelberg, - UK Mannheim GmbH, Germany","place":["Mannheim"],"department":["Zentrum f\u00fcr Kinder-, Jugend- und rekonstruktive 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