Internal medicine

Business

Pediatrics

Young adult

Disease

Economic growth

Family medicine

Psychiatry

Marketing

Psychosocial

Health care

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Referral

Hirschsprung's disease

Transitional care

Gerontology

Focus group

Medicine

Journal of Pediatric Surgery

Background/PurposeThe need for transitional care has gained increased focus in the treatment of patients with congenital colorectal disorders. We aimed to acquire in-depth knowledge about the experiences of adult patients with Hirschsprung's disease (HD) and their suggestions for transitional care.MethodsBinational study applying gender equal focus group interviews (FGI).ResultsSeventeen (9 men) of 52 invited patients with median age 29 (19–43) years participated. Three themes evolved from the FGI. "Scarred body and soul" describes the somatic and psychosocial challenges the patients experienced and "limited health literacy on HD" refers to the patients' lack of HD knowledge. "Absent transition" depicts missing transitional care and the patients' inability to find adult HD specialists. The adult HD patients strongly recommended transitional care from early teens with focus on information about HD and establishment of a peer-to-peer program. They also emphasized the possibility of being referred to a pelvic floor center.ConclusionsHD negatively influences patients' somatic and psychosocial health in childhood, adolescence and adulthood. Adult HD patients strongly recommend transitional care from early teens and the possibility for referral to a center working with pelvic floor dysfunctions.Level of evidenceIVType of researchClinical

Reaching adulthood with Hirschsprung's disease: Patient experiences and recommendations for transitional care