Strikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden
Patients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care
Journal of Pediatric Surgery Article Review: September 2021
▶Ep 1 · 6:53
quoteMy name is Julian Goddard. I am a general surgery resident at Boston Medical Center. I was previously a research resident at Cincinnati Children's.↗
▶Ep 1 · 9:16
epidemiologicalHigher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms.↗
▶Ep 1 · 9:16
quoteI personally thought that it was gonna be higher. You see higher rates of Crohn's disease in the older children. So when you're getting to the adolescent age, over the age of 10 is um what we saw, um, that kind of goes more in line with as these patients get older and they present with the perianal symptoms, then there is a, uh, stronger incidence, a larger incidence of Crohn's.↗
Julian's statements about Crohn's Disease8 statements
Journal of Pediatric Surgery Article Review: September 2021
▶Ep 7 · 6:53
quoteMy name is Julian Goddard. I am a general surgery resident at Boston Medical Center. I was previously a research resident at Cincinnati Children's.↗
▶Ep 7 · 9:16
epidemiologicalHigher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms.↗
▶Ep 7 · 9:16
quoteI personally thought that it was gonna be higher. You see higher rates of Crohn's disease in the older children. So when you're getting to the adolescent age, over the age of 10 is um what we saw, um, that kind of goes more in line with as these patients get older and they present with the perianal symptoms, then there is a, uh, stronger incidence, a larger incidence of Crohn's.↗
Journal of Pediatric Surgery Article Review: September 2021
▶Ep 11 · 8:16
clinicalThe Cincinnati study included all children from 0 to 18 years who lived within a 15 mile radius of Cincinnati Children's and presented with perianal disease↗
▶Ep 11 · 8:42
clinicalA second cohort included all children within a 50 mile radius who were diagnosed with Crohn's disease↗
▶Ep 11 · 9:02
quoteIt was actually 3%, you know, like overall, yes, 3%, but, you know, if you have a baby that has a rectal abscess, perectal abscess, like they never got Crohn's.↗
▶Ep 11 · 9:02
clinicalOverall, 3% of children presenting with perianal symptoms ended up being diagnosed with Crohn's disease↗
▶Ep 11 · 9:11
clinicalNo children under the age of 1 had Crohn's disease within the study period↗
Julian's statements about Intestinal Failure8 statements
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
▶Ep 27 · 0:13
epidemiologicalCincinnati Children's intestinal rehabilitation team tracked 46 patients who turned 20 to examine outcomes when they transitioned to adult healthcare centers or continued pediatric care↗
▶Ep 27 · 0:23
epidemiological59% of patients transitioned to adult focused programs while the rest continued receiving care at Cincinnati Children's↗
▶Ep 27 · 0:29
epidemiologicalPatients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care↗
▶Ep 27 · 0:29
quoteStrikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden↗
▶Ep 27 · 0:29
epidemiologicalPatients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care↗
▶Ep 27 · 0:42
epidemiologicalThe median time from transition to death was approximately 12 months↗
▶Ep 27 · 0:46
quoteUntil structured transition programs are developed and widely implemented, young adults with a history of intestinal failure, aging out of pediatric care remain a critically vulnerable population in need of greater attention and support↗
▶Ep 27 · 0:46
opinionYoung adults with a history of intestinal failure aging out of pediatric care remain a critically vulnerable population in need of greater attention and support until structured transition programs are developed and widely implemented↗
Julian's statements about Intestinal Rehab8 statements
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
▶Ep 101 · 0:13
epidemiologicalCincinnati Children's intestinal rehabilitation team tracked 46 patients who turned 20 to examine outcomes when they transitioned to adult healthcare centers or continued pediatric care↗
▶Ep 101 · 0:23
epidemiological59% of patients transitioned to adult focused programs while the rest continued receiving care at Cincinnati Children's↗
▶Ep 101 · 0:29
quoteStrikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden↗
▶Ep 101 · 0:29
epidemiologicalPatients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care↗
▶Ep 101 · 0:29
epidemiologicalPatients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care↗
▶Ep 101 · 0:42
epidemiologicalThe median time from transition to death was approximately 12 months↗
▶Ep 101 · 0:46
opinionYoung adults with a history of intestinal failure aging out of pediatric care remain a critically vulnerable population in need of greater attention and support until structured transition programs are developed and widely implemented↗
▶Ep 101 · 0:46
quoteUntil structured transition programs are developed and widely implemented, young adults with a history of intestinal failure, aging out of pediatric care remain a critically vulnerable population in need of greater attention and support↗
Julian's statements about Meckel's Diverticulum8 statements
Journal of Pediatric Surgery Article Review: September 2021
▶Ep 2 · 6:53
quoteMy name is Julian Goddard. I am a general surgery resident at Boston Medical Center. I was previously a research resident at Cincinnati Children's.↗
▶Ep 2 · 9:16
quoteI personally thought that it was gonna be higher. You see higher rates of Crohn's disease in the older children. So when you're getting to the adolescent age, over the age of 10 is um what we saw, um, that kind of goes more in line with as these patients get older and they present with the perianal symptoms, then there is a, uh, stronger incidence, a larger incidence of Crohn's.↗
▶Ep 2 · 9:16
epidemiologicalHigher rates of Crohn disease were seen in older children, particularly over age 10, among those presenting with perianal symptoms.↗
Journal of Pediatric Surgery Article Review: September 2021
▶Ep 3 · 8:16
clinicalThe Cincinnati study included all children from 0 to 18 years who lived within a 15 mile radius of Cincinnati Children's and presented with perianal disease↗
▶Ep 3 · 8:42
clinicalA second cohort included all children within a 50 mile radius who were diagnosed with Crohn's disease↗
▶Ep 3 · 9:02
clinicalOverall, 3% of children presenting with perianal symptoms ended up being diagnosed with Crohn's disease↗
▶Ep 3 · 9:02
quoteIt was actually 3%, you know, like overall, yes, 3%, but, you know, if you have a baby that has a rectal abscess, perectal abscess, like they never got Crohn's.↗
▶Ep 3 · 9:11
clinicalNo children under the age of 1 had Crohn's disease within the study period↗
Julian's statements about Short Bowel Syndrome8 statements
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
▶Ep 9 · 0:13
epidemiologicalCincinnati Children's intestinal rehabilitation team tracked 46 patients who turned 20 to examine outcomes when they transitioned to adult healthcare centers or continued pediatric care↗
▶Ep 9 · 0:23
epidemiological59% of patients transitioned to adult focused programs while the rest continued receiving care at Cincinnati Children's↗
▶Ep 9 · 0:29
epidemiologicalPatients who transitioned to adult care had a significantly higher mortality rate of 33% compared to 5% among those who stayed in pediatric care↗
▶Ep 9 · 0:29
epidemiologicalPatients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care↗
▶Ep 9 · 0:29
quoteStrikingly, patients who transitioned to adult care had a significantly higher mortality rate, 33% compared to just 5% among those who stayed, despite showing no obvious differences in medical complexity or disease burden↗
▶Ep 9 · 0:42
epidemiologicalThe median time from transition to death was approximately 12 months↗
▶Ep 9 · 0:46
opinionYoung adults with a history of intestinal failure aging out of pediatric care remain a critically vulnerable population in need of greater attention and support until structured transition programs are developed and widely implemented↗
▶Ep 9 · 0:46
quoteUntil structured transition programs are developed and widely implemented, young adults with a history of intestinal failure, aging out of pediatric care remain a critically vulnerable population in need of greater attention and support↗
Summaries Julian gave as host
· 6 summaries
Recaps of other experts' statements, not Julian's own clinical position.
Summaries Julian gave as host · Intestinal Failure2 summaries
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
▶Ep 27 · 0:00
host summaryJulian Goddard summarizing a resource: Advances in medicine have dramatically improved survival rates for children with intestinal failure↗
▶Ep 27 · 0:04
host summaryJulian Goddard summarizing a resource: the moment they age out of pediatric care may represent one of the most dangerous transitions of their lives↗
Summaries Julian gave as host · Intestinal Rehab2 summaries
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
▶Ep 101 · 0:00
host summaryJulian Goddard summarizing a resource: Advances in medicine have dramatically improved survival rates for children with intestinal failure↗
▶Ep 101 · 0:04
host summaryJulian Goddard summarizing a resource: the moment they age out of pediatric care may represent one of the most dangerous transitions of their lives↗
Summaries Julian gave as host · Short Bowel Syndrome2 summaries
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
▶Ep 9 · 0:00
host summaryJulian Goddard summarizing a resource: Advances in medicine have dramatically improved survival rates for children with intestinal failure↗
▶Ep 9 · 0:04
host summaryJulian Goddard summarizing a resource: the moment they age out of pediatric care may represent one of the most dangerous transitions of their lives↗