{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T15:10:17Z","timestamp":1756739417776,"version":"3.44.0"},"reference-count":15,"publisher":"Mattioli1885","issue":"Vol. 20 (2025)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:p>Background: Paediatric-to-adult transition represents an unmet need in many chronic conditions. Data and \u00adoutcomes on pulmonary transition clinics (PTC) are limited.\u00a0 Methods: We report the structure, organization, and patients\u2019 characteristics of a multidisciplinary outpatient PTC started in 2022 by two secondary level academic hospitals in Milan, Italy. Consecutive adult patients\u00a0 (\u226518 years old) that entered the PTC from January 2022 until January 2023 and completed \u22652 follow-up visits were asked to answer a custom designed, anonymized, online questionnaire to test improvement in disease perception, self-confidence, and evaluate their experience with the clinic.\u00a0 Results: Out of thirty-three patients, twenty-one completed the survey (62% males, median age 19 years). The most common diagnoses included asthma (57%) and bronchiectasis (19%). The disease control rate was optimal, only &lt;2% of visits were unscheduled emergency visits. 100% of patients rated the presence of a dedicated service, a direct relationship with the treating physician and the possibility to improve self-management extremely useful. Conclusions: Our questionnaire revealed that transitioning from caregiver-based disease management to patient-based disease management was perceived as more arduous. PTCs are an impactful resource for patients transitioning to adult care, but our knowledge on disease specific management strategies in transitioning patients remains limited.<\/jats:p>","DOI":"10.5826\/mrm.2025.1038","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T14:04:54Z","timestamp":1754057094000},"source":"Crossref","is-referenced-by-count":0,"title":["The real-life experience of a general pulmonary transition clinic"],"prefix":"10.5826","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9013-3418","authenticated-orcid":false,"given":"Dejan","family":"Radovanovic","sequence":"first","affiliation":[{"name":"1 Division of Respiratory Diseases, L. Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milano, Italy. 2 Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano, Milano, Italy. 3 Coordinated Research Center on Respiratory Failure, University of Milan, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Milani","sequence":"additional","affiliation":[{"name":"1 Division of Respiratory Diseases, L. Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milano, Italy. 2 Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano, Milano, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Mandurino Mirizzi","sequence":"additional","affiliation":[{"name":"1 Division of Respiratory Diseases, L. Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonella","family":"Forlano","sequence":"additional","affiliation":[{"name":"1 Division of Respiratory Diseases, L. Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milano, Italy. 2 Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano, Milano, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Ghezzi","sequence":"additional","affiliation":[{"name":"4 Department of Pediatrics, Buzzi Children's Hospital, Milano, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Morelli","sequence":"additional","affiliation":[{"name":"4 Department of Pediatrics, Buzzi Children's Hospital, Milano, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00f2","family":"Garancini","sequence":"additional","affiliation":[{"name":"2 Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano, Milano, Italy. 4 Department of Pediatrics, Buzzi Children's Hospital, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Dubini","sequence":"additional","affiliation":[{"name":"4 Department of Pediatrics, Buzzi Children's Hospital, Milano, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Munari","sequence":"additional","affiliation":[{"name":"5 Pediatric Radiology and Neuroradiology \"V. Buzzi\" Children's Hospital - ASST Fatebenefratelli-Sacco, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Zirpoli","sequence":"additional","affiliation":[{"name":"5 Pediatric Radiology and Neuroradiology \"V. Buzzi\" Children's Hospital - ASST Fatebenefratelli-Sacco, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Farolfi","sequence":"additional","affiliation":[{"name":"4 Department of Pediatrics, Buzzi Children's Hospital, Milano, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3462-8253","authenticated-orcid":false,"given":"Pierachille","family":"Santus","sequence":"additional","affiliation":[{"name":"1 Division of Respiratory Diseases, L. Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milano, Italy. 2 Department of Biomedical and Clinical Sciences, Universit\u00e0 Degli Studi di Milano, Milano, Italy. 3 Coordinated Research Center on Respiratory Failure, University of Milan, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27750","reference":[{"key":"10.5826\/mrm.2025.1038_ref1","doi-asserted-by":"crossref","unstructured":"1. Simon TD, Berry J, Feudtner C, Stone BL, Sheng X, Bratton SL, et al. Children with complex chronic conditions in inpatient hospital settings in the United States. Pediatrics 2010;126:647-55.","DOI":"10.1542\/peds.2009-3266"},{"key":"10.5826\/mrm.2025.1038_ref2","doi-asserted-by":"crossref","unstructured":"2. Edwards JD, Houtrow AJ, Vasilevskis EE, Rehm RS, Markovitz BP, Graham RJ, et al. Chronic conditions among children admitted to U.S. pediatric intensive care units: their prevalence and impact on risk for mortality and prolonged length of stay. 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J Adolesc Health 2015;56:612-8.","DOI":"10.1016\/j.jadohealth.2015.02.007"},{"key":"10.5826\/mrm.2025.1038_ref12","doi-asserted-by":"crossref","unstructured":"12. Gabriel P, McManus M, Rogers K, White P. Outcome evidence for structured pediatric to adult health care transition interventions: a systematic review. J Pediatr 2017;188:263-9.","DOI":"10.1016\/j.jpeds.2017.05.066"},{"key":"10.5826\/mrm.2025.1038_ref13","doi-asserted-by":"crossref","unstructured":"13. Gramegna A, Addy C, Allen L, Bakkeheim E, Brown C, Daniels T, et al. Standards for the care of people with cystic fibrosis (CF); planning for a longer life. J Cyst Fibros 2024;23:375-87.","DOI":"10.1016\/j.jcf.2024.05.007"},{"key":"10.5826\/mrm.2025.1038_ref14","doi-asserted-by":"crossref","unstructured":"14. Betz CL, O\u2019Kane LS, Nehring WM, Lobo ML. Systematic review: health care transition practice service models. 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