{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:25:04Z","timestamp":1789176304133,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Transition is important for continuity of care for patients with chronic health conditions. The aim of this service evaluation was to determine the effectiveness of a transition clinic at a tertiary hospital with long\u2010term attendance in the adult endocrine service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case notes review of patients seen by paediatric endocrinology at the Royal Hospital for Children, Glasgow, at the time of transition to adult services, between 2012 and 2022. Patients with type 1 diabetes were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Engagement was measured through clinic attendance and dropout rate. The \u2018dropped out patients\u2019 were those who were seen in the transition clinic with a transition plan but did not attend appointments in the adult service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 267 individuals offered a transition clinic, data on discharge status were available for 248 (94%). Of these, 52% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009129) remained in the same tertiary centre, 29% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200961) were transferred to other endocrine centres in the West of Scotland; 17% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942) were discharged to primary care. Overall, 91% (172\/190) of young patients remained engaged with the adult service. Male patients had a higher drop out rate compared to females (14% vs. 4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Those from more deprived areas also had higher drop out rates compared to those from more affluent areas (17% vs. 3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our clinic model for transitioning from paediatric to adult endocrine care is effective in introducing and retaining patients to the adult service with only a 9% drop out rate. Factors associated with poor attendance in adult services include deprivation and being male. Additional support may be required for these individuals to improve engagement in adult services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cen.15202","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T01:16:43Z","timestamp":1736990203000},"page":"547-553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Outcome of Ongoing Adult Endocrine Engagement Following Transition From Paediatric Care"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5956-4262","authenticated-orcid":false,"given":"Xin Yean","family":"Chai","sequence":"first","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"},{"name":"Developmental Paediatric Endocrinology Research Group, School of Medicine, Dentistry and Nursing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2662-1684","authenticated-orcid":false,"given":"Angela K.","family":"Lucas\u2010Herald","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"},{"name":"Developmental Paediatric Endocrinology Research Group, School of Medicine, Dentistry and Nursing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0689-5549","authenticated-orcid":false,"given":"S. Faisal","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"},{"name":"Developmental Paediatric Endocrinology Research Group, School of Medicine, Dentistry and Nursing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suet Ching","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"},{"name":"Developmental Paediatric Endocrinology Research Group, School of Medicine, Dentistry and Nursing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avril","family":"Mason","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2845-6555","authenticated-orcid":false,"given":"Sze Choong","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"},{"name":"Department of Human Nutrition, School of Medicine, Dentistry and Nursing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Perry","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Guftar Shaikh","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Hospital for Children Glasgow UK"},{"name":"Developmental Paediatric Endocrinology Research Group, School of Medicine, Dentistry and Nursing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2020.105415"},{"key":"e_1_2_8_3_1","unstructured":"National Institute of Excellence Transition From Children's to Adults' Services for Young People Using Health or Social Care Services. NICE Guidelines (2016) https:\/\/www.nice.org.uk\/guidance\/ng43."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmed.2019-0077"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12195"},{"key":"e_1_2_8_6_1","volume-title":"A Guide to Getting It Right for Every Child","author":"Scottish Government","year":"2008"},{"key":"e_1_2_8_7_1","unstructured":"Scottish Government Scottish Index of Multiple Deprivation (2020) https:\/\/www.gov.scot\/collections\/scottish-index-of-multiple-deprivation-2020\/."},{"key":"e_1_2_8_8_1","unstructured":"Commission CQ From the Pond Into the Sea: Children's Transition to Adult Health Services: Care Quality Commission (2012) https:\/\/www.cqc.org.uk\/sites\/default\/files\/CQC_Transition%20Report_Summary_lores.pdf."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/1054-139X(93)90143-D"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307423"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1530\/EC-22-0025"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2012.04473.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-17-0895"},{"key":"e_1_2_8_14_1","volume-title":"On the Margins of Medical Care. 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