{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:41:55Z","timestamp":1785163315768,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Saudi Society of Rheumatology"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Musculoskeletal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rheumatic and musculoskeletal disorders (RMDs) of childhood onset are chronic conditions that often persist into adulthood, necessitating a structured transition from Pediatric to adult healthcare. In Saudi Arabia, no standardized protocol exists, leading to inconsistencies and care gaps for adolescents with RMDs. Saudi health transformation goals include improving overall health, enhancing the quality and accessibility of healthcare services, and increasing value by improving outcomes and controlling costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To develop a consensus statement on transitional care for adolescents with juvenile autoimmune diseases in Saudi Arabia, providing a structured framework to guide healthcare providers in creating effective transition programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We used the Delphi methodology, integrating a literature review with expert opinions to generate consensus statements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A steering committee oversaw the process, which involved two rounds of voting among 16 expert panelists. Consensus was defined as &gt;75% of participants\u2019 agreement. Statements that did not achieve consensus were revised and subjected to a second round of evaluation. The consensus was reviewed and supported by two adolescent patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the first round, consensus was reached on 21 of 30 statements; 9 were revised for the second round, and 3 additional statements were introduced. Of these 12 second-round statements, 7 reached consensus. Key findings included establishing a structured national transition protocol, ongoing professional development for healthcare providers, and educational programs for patients and their families. The study also highlighted the necessity of regular readiness assessments using validated tools, such as the Transition Readiness Assessment Questionnaire, and the importance of a multidisciplinary approach to transition care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The consensus statement provides a foundational framework for transitional care in Saudi Arabia, addressing the need for structured, patient-centered transition programs. Clear guidelines, continuous assessment, education, and multidisciplinary collaboration are emphasized to improve care quality and outcomes for adolescents with RMDs transitioning to adult healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1759720x261431363","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T09:17:38Z","timestamp":1773911858000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Consensus statements on the transition care for adolescents with rheumatic diseases in Saudi Arabia"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7580-2655","authenticated-orcid":false,"given":"Mohammed","family":"Nashawi","sequence":"first","affiliation":[{"name":"Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia"},{"name":"Immunology Unit, King Fahad Research Medical Center, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana","family":"Alahmari","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, King Khalid University, Abha, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emtenan","family":"Basahl","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toka","family":"Alsulaim","sequence":"additional","affiliation":[{"name":"Rheumatology Division, Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arwa","family":"Alhamed","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud Bin Abdulaziz for Health Sciences, Riyadh, Saudi Arabia"},{"name":"Department of Pediatric Rheumatology, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha","family":"Mirza","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maternity and Children Hospital, Makkah Health Cluster, Makkah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waleed","family":"Hafiz","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deyaa","family":"Mukhtar","sequence":"additional","affiliation":[{"name":"Adult Rheumatology, Department of Medicine, King Abdulaziz Hospital, Makkah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Aljaser","sequence":"additional","affiliation":[{"name":"Pediatric Rheumatology Unit, Department of Pediatrics, Abha Maternity and Children Hospital, Abha, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan Al","family":"Rayes","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamza","family":"Albader","sequence":"additional","affiliation":[{"name":"Rheumatology Department, King Fahad Hospital, Ministry of Health, Madinah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jubran","family":"Alqanatish","sequence":"additional","affiliation":[{"name":"Department of Pediatric Rheumatology, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Abdullah Specialized Children\u2019s Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khairiyah","family":"Alsufyani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maternity and Children Hospital, Makkah Health Cluster, Makkah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Alderaan","sequence":"additional","affiliation":[{"name":"Rheumatology, Department of Medicine, King Fahad Specialist Hospital\u2014Dammam, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Majeed","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansour","family":"Somaily","sequence":"additional","affiliation":[{"name":"Rheumatology Division, Department of Medicine, Armed Forces Hospital\u2014Southern Region, Khamis Mushait, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohmmad","family":"Altowijry","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, King Salman Armed Forces Hospital in Northwestern Region, Tabuk, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Attar","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Al Hada Armed Forces Hospital, Al Hada, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Olfat","sequence":"additional","affiliation":[{"name":"Division of Pediatric Rheumatology, Maternity and Children Hospital, Madinah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed A.","family":"Omair","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutibah","family":"Alessi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, King Fahad Hospital of the University, Al-Khobar, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulaiman M.","family":"Al-Mayouf","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeyad","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Ministry of National Guard Health Affairs, King Abdulaziz Medical City, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayef","family":"Al Ghanim","sequence":"additional","affiliation":[{"name":"Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz","family":"Almutairi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wafaa","family":"Alsuwairi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Rheumatology, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Abdullah Specialized Children\u2019s Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00393-020-00778-3"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60363-8"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60370-5"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cegh.2024.101562"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12969-021-00651-w"},{"key":"e_1_3_4_7_2","unstructured":"Transition G. Got transition aims to help youth and young adults move from pediatric to adult health care https:\/\/www.gottransition.org\/ (2025)."},{"key":"e_1_3_4_8_2","article-title":"Transitions from pediatric to adult care","volume":"4","author":"Castillo C","year":"2017","unstructured":"Castillo C, Kitsos E. Transitions from pediatric to adult care. Glob Pediatr Health 2017; 4: 2333794x17744946.","journal-title":"Glob Pediatr Health"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0009922819852980"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-019-1046-5"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/152692480601600404"},{"key":"e_1_3_4_12_2","first-page":"257","article-title":"Assessing the satisfaction of teens with kidney transplants who have attended an adolescent transition clinic","volume":"4","author":"CCLS CB","year":"2011","unstructured":"CCLS CB, Sandra Amaral M. Assessing the satisfaction of teens with kidney transplants who have attended an adolescent transition clinic. Int J Child Adolesc Health 2011; 4: 257.","journal-title":"Int J Child Adolesc Health"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12969-024-00963-7"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003591"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-210112"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh206"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsr049"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1367493506060203"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43166-023-00195-9"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12969-024-01047-2"},{"key":"e_1_3_4_21_2","author":"KSA Ministry of Health and Vision Realization Office","year":"2019","unstructured":"KSA Ministry of Health and Vision Realization Office. Ministry of health transformation strategy, version 3.0, 2019.","journal-title":"Ministry of health transformation strategy"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.9.979"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2007.07.005"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307423"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh603"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2018-000282"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.23928"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.07.006"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.3168"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.02.007"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.07.006"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12436"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2021.04.019"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11060797"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.06.003"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-015-3273-6"}],"container-title":["Therapeutic Advances in Musculoskeletal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1759720X261431363","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1759720X261431363","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1759720X261431363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:40:38Z","timestamp":1777588838000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1759720X261431363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":36,"alternative-id":["10.1177\/1759720X261431363"],"URL":"https:\/\/doi.org\/10.1177\/1759720x261431363","relation":{},"ISSN":["1759-720X","1759-7218"],"issn-type":[{"value":"1759-720X","type":"print"},{"value":"1759-7218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"1759720X261431363"}}