Mind the Gap

      See related article, p •••
      Before 1972, pediatricians generally relinquished the care of teenage patients to adult providers. That year, a forward-thinking American Academy of Pediatrics (AAP) Section on Child Health redefined pediatric care to encompass birth through age 21 years. Dedication to longitudinal care for teens and young adults was sealed through creation of certification in Adolescent Medicine through the American Board of Pediatrics in 1991. Decades later, it is clear that our AAP and American Board of Pediatrics leaders were prescient in this approach. Each subsequent decade brings increasing numbers of youth with chronic disease and medical complexity into adulthood. Recent insight into the impact of social determinants and adverse childhood events on longitudinal health has increased provider attention on the unequivocal impact of psychosocial variables on patient health. The mandate for this vigilance is not limited to primary and preventive care but also includes subspecialists managing pediatric chronic disease. The manuscript by Michel et al in this volume of The Journal further illuminates this challenge while revealing gaps in care among a subset of such youth and teens, ie, those living with inflammatory bowel disease (IBD).
      • Michel H.K.
      • Kim S.C.
      • Siripon N.
      • Noll R.B.
      Gaps exist in the comprehensive care of children with inflammatory bowel diseases.

      Abbreviations:

      AAP ( American Academy of Pediatrics), IBD ( Inflammatory bowel disease), PCP ( Primary care provider)
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