{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:18:09Z","timestamp":1791569889838,"version":"4.3.4"},"reference-count":11,"publisher":"The Journal of Rheumatology","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"accepted":{"date-parts":[[2026,2,24]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to identify key prognostic factors for a successful transition from pediatric to adult rheumatology care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted of patients enrolled in the transition program at the Hamburg Centre for Pediatric and Adolescent Rheumatology between December 2014 and December 2023. Only patients who received disease-modifying antirheumatic drugs (DMARDs) during their disease course were offered to participate in the transition program. The first 2 visits (T1 and T2) were conducted in the presence of both adult and pediatric specialists in the pediatric rheumatology clinic, followed by a third visit (T3) at the adult rheumatology clinic. Successful transitions were defined as attendance at T3. Patients who decided to leave the program were excluded. Variables analyzed included demographics, diagnosis, treatment, joint count, and Childhood Health Assessment Questionnaire (CHAQ) scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 547 included patients, 359 (65.6%) completed the transition successfully. Completion was highest in patients with uveitis (96%, with the lowest risk to discontinue the transition process [RDTP] of 0.16), biologic DMARD therapy (RDTP 0.42), and combination DMARD treatment (RDTP 0.27). Higher joint counts, increased disease activity, and elevated CHAQ scores were associated with a successful transition to adult care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher disease activity, ongoing DMARD treatment, and specific diagnoses such as uveitis are associated with better transition outcomes. Patients with no active treatment may require additional support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3899\/jrheum.2025-1035","type":"journal-article","created":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T12:20:11Z","timestamp":1773577211000},"page":"1135-1139","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Correlates of a Successful Transition in Pediatric Rheumatology"],"prefix":"10.3899","volume":"53","author":[{"given":"Hanna Maria","family":"Narberhaus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Tatsis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2954-5755","authenticated-orcid":false,"given":"Jens","family":"Klotsche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0659-5298","authenticated-orcid":false,"given":"Ivan","family":"Foeldvari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"key":"2026100422250790000_53.10.1135.1","unstructured":"Stineman M. Learning to be an adult patient: When the rules change. In: Magrab PR , Millar HEC , eds. Growing Up and Getting Medical Care: Youth with Special Health Care Needs. Washington, DC: Georgetown University Child Development Center; 1989."},{"key":"2026100422250790000_53.10.1135.2","doi-asserted-by":"crossref","first-page":"662","DOI":"10.46497\/ArchRheumatol.2024.10749","article-title":"Pediatric to adult rheumatology transition: success rates, influencing factors, and evolving diagnoses and treatments","volume":"39","author":"Demirci Y\u0131ld\u0131r\u0131m","year":"2024","journal-title":"Arch Rheumatol"},{"key":"2026100422250790000_53.10.1135.3","unstructured":"Mikola K. Transition to adult care in juvenile idiopathic arthritis [dissertation]. Helsinki: University of Helsinki; 2024."},{"key":"2026100422250790000_53.10.1135.4","doi-asserted-by":"crossref","first-page":"3737","DOI":"10.1093\/rheumatology\/keaa168","article-title":"Patients\u2019 attitudes and experiences of transition from paediatric to adult healthcare in rheumatology: a qualitative systematic review","volume":"59","author":"Kelly","year":"2020","journal-title":"Rheumatology"},{"key":"2026100422250790000_53.10.1135.5","doi-asserted-by":"publisher","DOI":"10.1186\/s12969-015-0013-0"},{"key":"2026100422250790000_53.10.1135.6","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1136\/annrheumdis-2024-eular.3224","article-title":"Improved rates of successful transfer of care with the implementation of a multidisciplinary transition clinic for young adults with juvenile arthritis [abstract]","volume":"83","author":"Hazel","year":"2024","journal-title":"Ann Rheum Dis"},{"key":"2026100422250790000_53.10.1135.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00393-014-1377-0"},{"key":"2026100422250790000_53.10.1135.8","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/ibd\/izae087","article-title":"Pediatric to adult transition in inflammatory bowel disease: consensus guidelines for Australia and New Zealand","volume":"31","author":"Vernon-Roberts","year":"2025","journal-title":"Inflam Bowel Dis"},{"key":"2026100422250790000_53.10.1135.9","first-page":"163","article-title":"Disease activity and dropout in young persons with juvenile idiopathic arthritis in transition of care: a longitudinal observational study","volume":"36","author":"van Pelt","year":"2018","journal-title":"Clin Exp Rheumatol"},{"key":"2026100422250790000_53.10.1135.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7539.435"},{"key":"2026100422250790000_53.10.1135.11","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.2025-0046"}],"container-title":["The Journal of Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3899\/jrheum.2025-1035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:25:44Z","timestamp":1791177944000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jrheum.org\/lookup\/doi\/10.3899\/jrheum.2025-1035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,15]]},"references-count":11,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,10,1]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.3899\/jrheum.2025-1035"],"URL":"https:\/\/doi.org\/10.3899\/jrheum.2025-1035","relation":{},"ISSN":["0315-162X","1499-2752"],"issn-type":[{"value":"0315-162X","type":"print"},{"value":"1499-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,15]]}}}