Inborn errors of immunity: a structured model for paediatric-to-adult transition of care - Scorecard - MDSpire

Inborn errors of immunity: a structured model for paediatric-to-adult transition of care

  • By

  • Adele Civino

  • Federico Diomeda

  • Concetta D’Orio

  • Stefania Antonacci

  • Giulia Loiacono

  • Angelo Vacca

  • Baldassarre Martire

  • May 11, 2026

  • 0 min

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Clinical Scorecard: A Framework for Transitioning Care from Pediatric to Adult Services in Patients with Inborn Errors of Immunity

At a Glance

CategoryDetail
ConditionInborn Errors of Immunity (IEI)
Key MechanismsGenetic anomalies affecting immune system function, leading to immune dysfunction and increased susceptibility to infections.
Target PopulationPediatric patients with Inborn Errors of Immunity transitioning to adult care.
Care SettingMultidisciplinary healthcare environments, including both pediatric and adult services.

Key Highlights

  • Transition planning should begin around age 14 with a multidisciplinary team.
  • Standardized clinical documentation and transition reports are essential.
  • Monitoring of infection rates and patient-reported quality of life is crucial.
  • Immunoglobulin replacement therapy options include intravenous, subcutaneous, and facilitated subcutaneous methods.
  • Empowerment of patients and caregivers is a fundamental element of the transition process.

Guideline-Based Recommendations

Diagnosis

  • Early identification of patients suited for transition is critical.

Management

  • Implement a structured, multidisciplinary transition protocol.

Monitoring & Follow-up

  • Regular evaluation of individual needs and follow-up adherence.

Risks

  • Insufficient transition practices can lead to medical complications and diminished long-term outcomes.

Patient & Prescribing Data

Individuals with Inborn Errors of Immunity transitioning from pediatric to adult care.

Immunoglobulin replacement therapy should be tailored based on patient requirements and developmental stage.

Clinical Best Practices

  • Establish a dedicated multidisciplinary team for continuity of care.
  • Ensure efficient communication between pediatric and adult healthcare providers.
  • Address psychosocial difficulties during the transition process.

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