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Data were extracted by two independent reviewers and integrated by narrative synthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 8990 citations were reviewed and 43 studies were included in the review, 24 of which explored the impact of transition and 24 examined experiences of transition. There were mixed results in terms of the change in glycaemic control and diabetes\u2010related hospitalizations, but all studies assessing attendance found worse attendance post\u2010transition. Data regarding experiences reported that young people and parents experienced greater difficulty in accessing and maintaining diabetes health care. Young people were required to develop independent self\u2010management and self\u2010advocacy skills to navigate the transition and adult health care, but some were inadequately prepared for this.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the impact of healthcare transition on outcomes for young people with Type\u00a01 diabetes is unclear due to the paucity of high\u2010quality studies, transition appears to be associated with decreased clinic attendance. There is some preliminary evidence of a positive impact of structured transition programmes. Experiences of healthcare transition illuminate the barriers to smooth transitions and the need for better integration and continuity of care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12639","type":"journal-article","created":{"date-parts":[[2014,11,19]],"date-time":"2014-11-19T04:52:37Z","timestamp":1416372757000},"page":"440-458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":145,"title":["The experiences and impact of transition from child to adult healthcare services for young people with Type 1 diabetes: a systematic review"],"prefix":"10.1111","volume":"32","author":[{"given":"A. M.","family":"Sheehan","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Trinity College Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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