{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:47:51Z","timestamp":1791989271513,"version":"4.4.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100016990","name":"Hellenic Society of Cardiology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016990","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Transition from paediatric to adult congenital heart disease (ACHD) care is a critical determinant of lifelong disease management for individuals with congenital heart disease (CHD). However, structured transition programmes remain inconsistently implemented, and data are lacking on current practices in Central and South-Eastern European (CESEE) countries. This study aimed to evaluate existing transition practices across CESEE and to identify opportunities to improve the development and implementation of structured programmes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>An online questionnaire was distributed to centres involved in CHD care across CESEE countries. The survey assessed centre characteristics, transition services, transfer processes, and development priorities. Responses from 60 healthcare CHD professionals representing 43 centres in 21 countries were analysed. A formal ACHD service was reported in 29 (67%) of 43 centres, mostly established after the year 2000 (72%), caring for a median of 1500 (interquartile range 782\u20134000) patients with ACHD. Overall, only 10 (23%) centres reported having a formal transition programme. Transition counselling was typically delivered in a single outpatient visit, commonly involving paediatric and adult CHD physicians, but rarely nurses and psychosocial professionals (20% each). Structured transfer processes were inconsistently implemented, and only half of the centres monitored non-attendance at initial adult visits. In centres without formal programmes, informal counselling largely occurred at the final paediatric or first adult visit, relying on patient self-referral, and lacking follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Formal transition programmes remain limited across CESEE ACHD centres. Standardized clear pathways, investment in dedicated transition clinics, and trained workforce are needed to improve continuity of care for adolescents with CHD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjopen\/oeag144","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:26:32Z","timestamp":1790335592000},"source":"Crossref","is-referenced-by-count":0,"title":["Transition from paediatric to adult congenital heart disease care in Central and South-Eastern Europe: current practices and opportunities for improvement"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3180-7280","authenticated-orcid":false,"given":"Alexandra","family":"Arvanitaki","sequence":"first","affiliation":[{"name":"1st Cardiology Department, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki , St. Kyriakidi 1, Thessaloniki 54124, Greece"},{"name":"2nd Cardiology Department, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki , Konstantinoupoleos 52, Thessaloniki 54641, Greece"},{"name":"Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton & Harefield Hospitals, Guys & St Thomas\u2019s NHS Trust , Sydney Street, London SW3 6N5, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1301-632X","authenticated-orcid":false,"given":"Katja","family":"Prok\u0161elj","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Centre Ljubljana and Faculty of Medicine, University of Ljubljana , Zaloska St. 2, Ljubljana 1000 ,","place":["Slovenia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6051-2724","authenticated-orcid":false,"given":"Iveta","family":"\u0160imkova","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Adult Congenital Heart Disease Division, Slovak Medical University, National Institute of Cardiovascular Diseases , Pod Krasnou Horkou 1\/7185, Bratislava 83348 ,","place":["Slovakia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6910-9720","authenticated-orcid":false,"given":"Irena Ivanac","family":"Vrane\u0161i\u0107","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases, University Hospital Center Zagreb , Kispaticeva 12, Zagreb 10000 ,","place":["Croatia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6667-6546","authenticated-orcid":false,"given":"Agnese","family":"Strenge","sequence":"additional","affiliation":[{"name":"Latvian Center of Cardiology, Pauls Stradins Clinical University Hospital , 13 Pilsonu Street, Riga LV-1002 ,","place":["Latvia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Komar","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital , Pradnicka 80, Krak\u00f3w 31-202 ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8584-4744","authenticated-orcid":false,"given":"Magdalena","family":"Lipczynska","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Diseases, National Institute of Cardiology , Alpejska 42, Warsaw 04-628 ,","place":["Poland"]},{"name":"Department of Heart, Chest and Transplant Surgery, University Clinical Center, Medical University of Warsaw , Stefana Banacka 1A, Warsaw 02-097 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Olga","family":"Balint","sequence":"additional","affiliation":[{"name":"Gottsegen National Cardiovascular Center , Haller Street 29, Budapest 1096 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioan Mircea","family":"Coman","sequence":"additional","affiliation":[{"name":"Institutul de Urgen\u021b\u0103 Pentru Boli Cardiovasculare Prof. Dr. C.C Iliescu , Soseaua Fundeni 258, Bucharest 022322 ,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4837-7099","authenticated-orcid":false,"given":"Umit Yasar","family":"Sinan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istanbul University-Cerrahpasa Institute of Cardiology , Haseki, Aksaray, Istanbul 34350 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