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Transition
of Care

Transition of care may be necessary for your patient with cystinosis for various reasons.

  • Transition to New Cystinosis Providers

  • Transition From Pediatric to Adult Cystinosis Care

Different age groups require special considerations4:

Early Adolescence Card

Early
Adolescence

Early Adolescence

Early Adolescence

  • Adherence to medications
  • Coping with medication side effects
  • Educational services or school accommodations
Late Adolescence Card

Late Adolescence

Late Adolescence

Late Adolescence

  • Taking responsibility for medications
  • Maintaining privacy while taking medications
  • Coping with odor and other side effects of cysteamine therapy
Adulthood

Adulthood

  • Reproductive health
  • Finding adult specialists with cystinosis experience
  • Insurance coverage support in postsecondary school

Planning for the Transition to Adult Care

A well-executed transition plan can help patients with cystinosis1,5

1

Effectively manage their condition

2

Take ownership of their care

3

Feel comfortable with new providers

4

Overcome challenges

5

Lead fulfilling adult lives

Although the transition to adult care commonly occurs between 18 and 21 years of age, transition planning ideally begins several years earlier to allow for adequate preparation of patients and caregivers as well as identification and integration of new providers. The transition cadence should be individualized to the patient’s goals and ability to manage care independently.1,2,5,6

A structured transition protocol can encourage greater patient independence and care involvement.1,5,6

  • Pediatric-focused care

  • Adolescent-focused care

  • Young adult-focused care

Key education and self-management skills

Supervised autonomy

  • Symptom and side effect knowledge
  • Adherence facilitators
  • Types of medication
  • Help preparing pill box
  • Active role in appointments
  • Healthy habits/nutrition

Key education and self-management skills

Autonomy with support

  • Disease knowledge
  • Treatment adherence
  • Education/career planning
  • Appointment scheduling/attendance alone
  • Coping mechanisms
  • Healthy lifestyle

Key education and self-management skills

Autonomy ± support

  • Responsibility for healthcare
  • Treatment adherence
  • Education/career planning
  • Reproductive and sexual health
  • Insurance updates
  • Community support
  • Pediatric-focused care

  • Adolescent-focused care

  • Young adult-focused care

Resources are available for patients/caregivers and providers to improve the transition of cystinosis care.

Continuity of Multidisciplinary Care

The complex multisystemic nature of cystinosis requires diligent and proactive communication among multidisciplinary team members during all transition stages. This allows for exchanging information, clarifying treatment plans, and addressing ongoing concerns.1-3

Continuity of multidisciplinary care is important for the long-term management of renal and extrarenal manifestations in adulthood.1-3

Specialties involved during and after
transition may include1,3,5

  • References