This narrative literature review examines 30 years of health care transition (HCT) research in rheumatology, covering historical context, transition outcomes, needs of adolescents and young adults (AYA) with pediatric-onset rheumatic diseases, and interventions designed to support the move to adult-oriented care.
The review synthesizes evidence showing that AYA with pediatric rheumatic diseases face significant challenges transitioning to adult care, with systematic transition programs emerging as a needed response; specific outcome numbers are not reported in the abstract.
As a narrative review, it is subject to selection bias in the literature included and does not provide a pooled quantitative estimate of outcomes. Knowledge gaps and future directions are acknowledged, indicating the evidence base remains incomplete.
Clinicians caring for AYA with pediatric rheumatic diseases should implement structured, systematic transition programs rather than relying on ad hoc handoffs. Addressing self-management skills and adult-care readiness early in adolescence is a key priority identified by this review.
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