vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v20i1.2235vsp-2553Research ArticleСИСТЕМАТИЧЕСКИЙ ОБЗОРSYSTEMATIC REVIEWПереход подростков с хронической болезнью почек во взрослую службу здравоохранения: систематическое обзорное исследование литературыTransition of Adolescents with Chronic Kidney Disease to Adult Health Service: Scoping Reviewhttps://orcid.org/0000-0001-9880-1188КулаковаЕ. Н.KulakovaElena N.

Кулакова Елена Николаевна - кандидат медицинских наук, доцент кафедры госпитальной и поликлинической педиатрии ВГМУ им. Н.Н. Бурденко.394036, Воронеж, ул. Студенческая, д. 10.тел.: +7 (473) 237-27-46

Voronezh.

elena.n.kulakova@mail.ruhttps://orcid.org/0000-0001-6096-1784НастаушеваТ. Л.NastaushevaTatjana L.

394036, Воронеж, ул. Студенческая, д. 10.

Voronezh.

https://orcid.org/0000-0002-7564-0382КондратьеваИ. В.KondratjevaInna V.

394036, Воронеж, ул. Студенческая, д. 10.

Voronezh.

https://orcid.org/0000-0001-6301-4723ЗвягинаТ. Г.ZvyaginaTatjana G.

394036, Воронеж, ул. Студенческая, д. 10.

Voronezh

https://orcid.org/0000-0002-7334-5312КолтаковаМ. П.KoltakovaMaria P.

394036, Воронеж, ул. Студенческая, д. 10.

Voronezh.

Воронежский государственный медицинский университет им. Н.Н. БурденкоРоссияVoronezh State Medical University n.a. N.N. BurdenkoRussian FederationВоронежский государственный медицинский университет им. Н.Н. Бурденко; Воронежская областная детская клиническая больница № 1РоссияVoronezh State Medical University n.a. N.N. Burdenko; Voronezh Regional Children's Clinical Hospital № 1Russian Federation2021110220212013850Copyright © Кулакова Е.Н., Настаушева Т.Л., Кондратьева И.В., Звягина Т.Г., Колтакова М.П., 20212021Кулакова Е.Н., Настаушева Т.Л., Кондратьева И.В., Звягина Т.Г., Колтакова М.П.Kulakova E.N., Nastausheva T.L., Kondratjeva I.V., Zvyagina T.G., Koltakova M.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/2553

Обоснование. Период перехода подростков с хроническими заболеваниями из детской во взрослую службу здравоохранения нередко сопровождается снижением приверженности к выполнению рекомендаций, нерегулярностью плановых обращений за медицинской помощью, нарушением мониторинга течения заболевания, что может приводить к обострениям, прогрессированию хронической патологии и снижению качества жизни. По мнению международных экспертов, программы, оптимизирующие процесс перехода во взрослую службу пациентов с нефрологическими заболеваниями, могут улучшить течение хронической болезни почек. Цель исследования — систематизировать данные опубликованной литературы по теме перехода подростков с хронической болезнью почек во взрослую службу здравоохранения, идентифицировать пробелы в системе научного знания и определить направления для дальнейших исследований. Методы. Систематическое обзорное исследование литературы выполнено путем поиска публикаций в базах PubMed, eLIBRARY.RU, The Cochrane Library, посредством Google Scholar и в списках литературы отобранных статей. Отбирали статьи, опубликованные на русском или английском языках без ограничения по дате публикации в соответствии с критериями включения. Результаты. Из 2184 идентифицированных литературных источников в исследование включены 185 (8,5%). Результаты 25 работ вошли в анализ эффективности программ перехода. Статей на русском языке, соответствующих критериям включения, не выявлено. Основными типами публикаций были результаты оригинальных научных исследований (ретроспективные наблюдательные исследования, анкетные опросы, качественные и комплексные исследования с интервьюированием) и описательные обзоры. Показано, что для совершенствования процесса перехода были внедрены как комплексные программы, так и вмешательства узкой направленности. Отмечено, что эффективность этих инициатив остается недостаточно изученной, в т. ч. в экспериментальных исследованиях. Заключение. Для формирования системы научных знаний по теме перехода пациентов с хронической болезнью почек во взрослую службу здравоохранения требуются доказательства высокого уровня. Необходимы исследования в этом направлении в структуре и российской системы здравоохранения.

Background. The transition of adolescents with chronic diseases from pediatric to adult health service is often accompanied by a decrease in adherence to the recommendations, non-regular scheduled medical consultations, disease course monitoring violation. All together it can lead to exacerbation and progression of the chronic disease and a decrease in quality of life. Programs for patients with nephrological diseases that optimize the process of their transition to adult service can improve the course of chronic kidney disease (according to international experts). Objective. The aim of the study was to systematize data from the published literature on the transition of adolescents with chronic kidney disease to adult health service; identify gaps in scientific knowledge; and determine areas for future research. Methods. Scoping review was performed by searching for articles in the databases: PubMed, eLIBRARY.RU, The Cochrane Library, via Google Scholar and in reference lists of selected articles. We have selected articles published in Russian or English with no publication date limitation and corresponding to inclusion criteria. Results. 185 (8.5%) out of 2,184 identified literature sources were included in the study. The results of 25 works were included in the analysis of transition programs efficacy. There were no Russian-language articles matching the inclusion criteria. The majority of publications types were original scientific studies (retrospective observational studies, questionnaire surveys, qualitative and mixed methods studies with interviewing) and narrative reviews. It was shown that both complex programs and narrow-focus interventions have been implemented to improve the transition process. It has been noted that the efficacy of such initiatives still remains insufficiently studied, including among experimental studies. Conclusion. Formation of the scientific knowledge system on the transition of patients with chronic kidney disease to adult health service requires high-level evidence. Further researches are needed in this field in the Russian health system as well.

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The authors declare that there are no conflicts of interest present.