Ethics of Transition of Care of Pediatric Surgical Patients to Adult Providers

Erica M. Carlisle; Rachael Sundland; Baddr Shakhsheer; Meghan Arnold; Jieun Lee; Jessica Mills; Kathryn Martin; Claudia Mueller; Kenneth Gow

doi:10.1016/j.jpedsurg.2025.162228

Back

Ethics of Transition of Care of Pediatric Surgical Patients to Adult Providers

Journal article

Peer reviewed

Ethics of Transition of Care of Pediatric Surgical Patients to Adult Providers

Erica M. Carlisle, Rachael Sundland, Baddr Shakhsheer, Meghan Arnold, Jieun Lee, Jessica Mills, Kathryn Martin, Claudia Mueller and Kenneth Gow

Journal of pediatric surgery, Vol.60(4), 162228

01/31/2025

DOI: 10.1016/j.jpedsurg.2025.162228

PMID: 39919340

View Online

Abstract

Pediatric surgeons have significantly improved survival rates for children with complex conditions, transforming many previously terminal cases into long-term survivorship. What was once a few years of follow-up has now become decades, leading to patients living well into adulthood, facing new challenges that often fall outside the traditional pediatric care zone. This creates an ethical dilemma: balancing beneficence and non-maleficence while ensuring equity in caring for new patients who require our expertise. The process of transitioning pediatric surgical patients to adult care introduces further ethical challenges, especially when it comes to upholding patient autonomy and ensuring assent during the transition process. We will review best practices and ethical frameworks for transitioning pediatric surgical patients to adult care, ensuring that these patients continue to receive optimal care while respecting their autonomy and ability to make informed decisions about their health.

Ethics

Surgery

beneficence

equity

justice

non-maleficence

Pediatric

transition

Details

Title: Subtitle: Ethics of Transition of Care of Pediatric Surgical Patients to Adult Providers
Creators: Erica M. Carlisle - University of Iowa
Rachael Sundland - Maimonides Medical Center
Baddr Shakhsheer - University of Chicago
Meghan Arnold - University of Michigan–Ann Arbor
Jieun Lee - Guthrie Foundation
Jessica Mills - Dalhousie University
Kathryn Martin - Westchester Medical Center
Claudia Mueller - Stanford University
Kenneth Gow - Stony Brook Children's Hospital
Resource Type: Journal article
Publication Details: Journal of pediatric surgery, Vol.60(4), 162228
Publisher: Elsevier Inc
DOI: 10.1016/j.jpedsurg.2025.162228
PMID: 39919340
ISSN: 0022-3468
eISSN: 1531-5037
Language: English
Date published: 01/31/2025
Academic Unit: Stead Family Department of Pediatrics; Surgery
Record Identifier: 9984786279302771

Metrics

5 Record Views

See more details