{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:18:50Z","timestamp":1788286730931,"version":"build-2803163510"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100006483","name":"Abbvie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Genomics Medicine Ireland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The British Society of Gastroenterology recommend use of structured transition programs to improve control of chronic gastrointestinal disease in adolescents. We sought to determine the impact of attending a structured transition program on engagement of patients with inflammatory bowel disease (IBD) services and disease outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective multicenter study of patients with IBD prior to and post-transfer to adult services. Patients were grouped into those who attended a structured transition program and those who received standard care, transferred with a referral letter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 282 patients were included: 155 patients in our structured transition program cohort and 127 patients in the standard care cohort. Patients who took part in a structured transition program had significantly better engagement with adult IBD services with significantly lower rates of nonattendance at outpatient clinics 1-year post-transfer (12.3% vs 27.2%, P\u2009=\u2009.002) and significantly lower rates of disengagement with services (4.2% vs 13.1%, P\u2009=\u2009.015). There were no significant differences seen in rates of biologic failure, need for steroid\/surgery or median fecal calprotectin levels between either group. Attending a structured transition program was the only factor that positively impacted engagement with IBD services in a multivariate analysis (OR 4.08, confidence interval 1.41-11.91, P\u2009=\u2009.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structured transition programs in IBD can improve engagement of patients with IBD services with significantly lower rates of disengagement with IBD services seen in our study. Large prospective studies are needed in this field to further investigate this and the impact of these programs on disease outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ibd\/izag056","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:16:13Z","timestamp":1773404173000},"page":"1731-1740","source":"Crossref","is-referenced-by-count":1,"title":["Transitioning to adult care for patients with IBD: the impact of a structured IBD transition program on service engagement"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1599-1447","authenticated-orcid":false,"given":"Jayne","family":"Doherty","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, St James Hospital , Dublin,","place":["Ireland"]},{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciaran","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cork University Hospital , Cork,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parker","family":"Girod","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St Vincent\u2019s University Hospital , Dublin,","place":["Ireland"]},{"name":"INITIative IBD Research Network ( https:\/\/initiativeibd.com\/ ), Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Peacock","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University College Hospital Galway , Galway,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Neilan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University Hospital Limerick , Limerick,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Muldowney","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tallaght University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tallaght University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1280-6525","authenticated-orcid":false,"given":"Lorraine","family":"Stallard","sequence":"additional","affiliation":[{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6809-7839","authenticated-orcid":false,"given":"Shoana","family":"Quinn","sequence":"additional","affiliation":[{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6001-4151","authenticated-orcid":false,"given":"Annemarie","family":"Broderick","sequence":"additional","affiliation":[{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Stenke","sequence":"additional","affiliation":[{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seamus","family":"Hussey","sequence":"additional","affiliation":[{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Hartery","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St James Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kevans","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St James Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah O","family":"Donnell","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tallaght University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eoin","family":"Slattery","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University College Hospital Galway , Galway,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garret","family":"Cullen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St Vincent\u2019s University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roisin","family":"Stack","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University Hospital Limerick , Limerick,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glen","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St Vincent\u2019s University Hospital , Dublin,","place":["Ireland"]},{"name":"INITIative IBD Research Network ( https:\/\/initiativeibd.com\/ ), Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clodagh","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cork University Hospital , Cork,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1833-8694","authenticated-orcid":false,"given":"Billy","family":"Bourke","sequence":"additional","affiliation":[{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Dunne","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St James Hospital , Dublin,","place":["Ireland"]},{"name":"National Centre for Paediatric Gastroenterology, Children\u2019s Health Ireland , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"2026090114012503800_izag056-B1","doi-asserted-by":"publisher","first-page":"CD009794","DOI":"10.1002\/14651858.CD009794.pub2","article-title":"Transition of care for adolescents from paediatric services to adult health services","volume":"4","author":"Campbell","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2026090114012503800_izag056-B2","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.pedn.2019.05.015","article-title":"An evidence map for interventions addressing transition from pediatric to adult cares systematic review of systematic reviews","volume":"48","author":"Hart","year":"2019","journal-title":"J Pediatr Nurs"},{"key":"2026090114012503800_izag056-B3","doi-asserted-by":"publisher","first-page":"2271","DOI":"10.1093\/ibd\/izad302","article-title":"Sustained increase in pediatric inflammatory bowel disease incidence across the south west United Kingdom over the last 10 years","volume":"30","author":"Green","year":"2024","journal-title":"Inflamm Bowel Dis"},{"key":"2026090114012503800_izag056-B4","doi-asserted-by":"publisher","first-page":"004","DOI":"10.1053\/j.gastro.2024.11.004","article-title":"Prevalence of pediatric inflammatory bowel disease in the United States: pooled estimates from three administrative claims data sources","volume":"11","author":"Kappelman","year":"2024","journal-title":"Gastroenterology"},{"key":"2026090114012503800_izag056-B5","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1093\/ibd\/izz182","article-title":"Prevalence of inflammatory bowel disease in pediatric and adult populations: recent estimates from large national databases in the United States, 2007\u20132016","volume":"26","author":"Ye","year":"2020","journal-title":"Inflamm Bowel Dis"},{"key":"2026090114012503800_izag056-B6","doi-asserted-by":"publisher","first-page":"e55","DOI":"10.1016\/j.crohns.2012.05.010","article-title":"Resource utilization during pediatric to adult transfer of care in IBD","volume":"7","author":"Bollegala","year":"2013","journal-title":"J Crohns Colitis"},{"key":"2026090114012503800_izag056-B7","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.1053\/j.gastro.2008.06.081","article-title":"Definition of phenotypic characteristics of childhood-onset inflammatory bowel disease","volume":"135","author":"Van Limbergen","year":"2008","journal-title":"Gastroenterology"},{"key":"2026090114012503800_izag056-B8","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1007\/s00125-020-05368-1","article-title":"Improved transition to adult care in youth with type 1 diabetes: a pragmatic clinical trial","volume":"64","author":"Butalia","year":"2021","journal-title":"Diabetologia"},{"key":"2026090114012503800_izag056-B9","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1037\/fsh0000396","article-title":"Listening to adolescents with uncontrolled diabetes, their parents and medical team","volume":"37","author":"Starkman","year":"2019","journal-title":"Fam Syst Health"},{"key":"2026090114012503800_izag056-B10","doi-asserted-by":"publisher","first-page":"1773726","DOI":"10.1155\/2024\/1773726","article-title":"The journey to adulthood: a systematic review of interventions in type 1 diabetes paediatric to adult transition care","volume":"2024","author":"Aljohani","year":"2024","journal-title":"Pediatr Diabetes"},{"key":"2026090114012503800_izag056-B11","doi-asserted-by":"publisher","first-page":"100071","DOI":"10.1016\/j.hctj.2024.100071","article-title":"Exploring six successful nurse-led transition clinics: experiences and outcomes","volume":"2","author":"Sturm","year":"2024","journal-title":"Health Care Transit"},{"key":"2026090114012503800_izag056-B12","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1097\/MPG.0000000000003244","article-title":"Benefits of structured pediatric to adult transition in inflammatory bowel disease: the TRANSIT observational study","volume":"74","author":"McCartney","year":"2022","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2026090114012503800_izag056-B13","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.cgh.2019.04.063","article-title":"Recommendations for successful transition of adolescents with inflammatory bowel diseases to adult care","volume":"18","author":"Shapiro","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2026090114012503800_izag056-B14","doi-asserted-by":"publisher","first-page":"988","DOI":"10.1136\/gutjnl-2016-313000","article-title":"UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care","volume":"66","author":"Brooks","year":"2017","journal-title":"Gut"},{"key":"2026090114012503800_izag056-B15","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1093\/ecco-jcc\/jjx010","article-title":"European Crohn\u2019s and Colitis Organisation topical review on transitional care in inflammatory bowel disease","volume":"11","author":"van Rheenen","year":"2017","journal-title":"J Crohns Colitis"},{"key":"2026090114012503800_izag056-B16","doi-asserted-by":"publisher","first-page":"17562848241251600","DOI":"10.1177\/17562848241251600","article-title":"Biomarkers in inflammatory bowel disease: a practical guide","volume":"17","author":"Clough","year":"2024","journal-title":"Ther Adv Gastroenterol"},{"key":"2026090114012503800_izag056-B17","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s12875-016-0440-0","article-title":"The influence of gender and other patient characteristics on health care-seeking behaviour: a QUALICOPC study","volume":"17","author":"Thompson","year":"2016","journal-title":"BMC Fam Pract"},{"key":"2026090114012503800_izag056-B18","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1016\/j.jadohealth.2015.04.012","article-title":"Evaluation of outcomes in adolescent inflammatory bowel disease patients following transfer from pediatric to adult health care services: case for transition","volume":"57","author":"Cole","year":"2015","journal-title":"J Adolesc Health"},{"key":"2026090114012503800_izag056-B19","doi-asserted-by":"publisher","first-page":"e1134","DOI":"10.1542\/peds.2009-0041","article-title":"Transition to adult care for youths with diabetes mellitus: findings from a Universal Health Care System","volume":"124","author":"Nakhla","year":"2009","journal-title":"Pediatrics"},{"key":"2026090114012503800_izag056-B20","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1046\/j.1464-5491.2002.00757.x","article-title":"Current methods of transfer of young people with type 1 diabetes to adult services","volume":"19","author":"Kipps","year":"2002","journal-title":"Diabet Med"},{"key":"2026090114012503800_izag056-B21","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1136\/heartjnl-2012-302831","article-title":"Loss to specialist follow-up in congenital heart disease; out of sight, out of mind","volume":"99","author":"Wray","year":"2013","journal-title":"Heart"},{"key":"2026090114012503800_izag056-B22","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1002\/pbc.24870","article-title":"Identification of risk factors for an unsuccessful transition from pediatric to adult sickle cell disease care","volume":"61","author":"Andemariam","year":"2014","journal-title":"Pediatr Blood Cancer"},{"key":"2026090114012503800_izag056-B23","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1016\/j.jpeds.2018.08.021","article-title":"Health services use during transition from pediatric to adult care for inflammatory bowel disease: a population-based study using health administrative data","volume":"203","author":"Zhao","year":"2018","journal-title":"J Pediatr"},{"key":"2026090114012503800_izag056-B24","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1097\/MIB.0000000000001114","article-title":"Pediatric-to-adult transition and medication adherence in patients with inflammatory bowel disease","volume":"23","author":"Jeganathan","year":"2017","journal-title":"Inflamm Bowel Dis"},{"key":"2026090114012503800_izag056-B25","doi-asserted-by":"publisher","first-page":"8577","DOI":"10.3390\/jcm14238577","article-title":"Health literacy in inflammatory bowel disease: a systematic review of health outcomes, predictors and barriers","volume":"14","author":"Mercuri","year":"2025","journal-title":"J Clin Med"}],"container-title":["Inflammatory Bowel Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ibdjournal\/article-pdf\/32\/9\/1731\/68033200\/izag056.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ibdjournal\/article-pdf\/32\/9\/1731\/68033200\/izag056.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:01:46Z","timestamp":1788285706000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ibdjournal\/article\/32\/9\/1731\/8651671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,11]]},"references-count":25,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,4,11]]},"published-print":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ibd\/izag056","relation":{},"ISSN":["1078-0998","1536-4844"],"issn-type":[{"value":"1078-0998","type":"print"},{"value":"1536-4844","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,4,11]]}}}