Pediatric rheumatology

Evaluation of a Pediatric-Adult Dyad Care Model for Transitioning Youth With Childhood-Onset Systemic Lupus Erythematosus

J RheumatolPublished Retrospective cohort study

Authors' conclusion

This transition model, incorporating 4 years of combined pediatric-adult care, demonstrated successful transition for youth with cSLE, with > 90% achieving key milestones of initial and sustained follow-up in adult care.

Study context

Population
Youth with childhood-onset SLE graduating from the SickKids Transition Clinic (STC), Aug 2016–Sep 2023, transitioned at age 18 to the Young Adult SLE (YASLE) Clinic at Mount Sinai Hospital (MSH) for 4 years of combined pediatric-adult care164 transitioned to YASLE
Participants
234 participants
Outcome
Transition success by 3 milestones: (1) initial YASLE follow-up within 1 year; (2) > 1 YASLE visit; (3) sustained follow-up at MSH
Methodological detailsretrospective chart review
  • Retrospective chart review

Main finding

As reported in the abstract

Transition milestones
First milestone achieved
98.2%
First YASLE visit within 1 year
96.2%
Median time to first YASLE visit
3.5 months
Second milestone (> 1 visit)
97.5%
Maintained care at MSH by study end
94.2%
Median follow-up, years (IQR 2.7-7.1)
5.1
Graduated from YASLE
45.3%

Observational data: associations, not effects.

Further findings

Disease status at STC

Active disease (SLEDAI-2K > 4)
19.5%
SDI > 1
13.4%

Original publication

Evaluation of a Pediatric-Adult Dyad Care Model for Transitioning Youth With Childhood-Onset Systemic Lupus Erythematosus. J Rheumatol. Published 25 July 2025. doi:10.3899/jrheum.2025-0046

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.