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Vol. 61. Issue 4.
Pages 220-225 (April 2025)
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Vol. 61. Issue 4.
Pages 220-225 (April 2025)
Review Article
The In-between: Time to Talk About Bronchiectasis in Adolescents and Their Transition to Adult Care
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Letizia Traversia,1, Laura Garriga-Grimaub,1, Antonio Moreno-Galdób,c, Eva Polverinoa,d,
Corresponding author
eva.polverino@vhir.org

Corresponding author.
a Pneumology Department, Hospital Universitari Vall d’Hebron, Vall d’HebronInstitut de Recerca (VHIR), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
b Paediatric Pulmonology Section, Department of Paediatrics, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Spain
c Centre for Biomedical Network Research on Rare Diseases (CIBERER), Instituto de Salud Carlos III, Madrid, Spain
d Centre for Biomedical Network Research on Respiratory Diseases (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
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Table 1. Summary of the Literature on Adolescence With Bronchiectasis.
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Table 2. Main Challenges Identified in Transition Literature and Resolution Proposals.
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Abstract

Paediatric and adult bronchiectasis patients have been addressed in the literature as two different populations due to several differences, but there is insufficient evidence to understand how and when disease characteristics really change along patients’ lifespan. This lack of knowledge is evident in all aspects of the transition: insufficient data is available about radiology, lung function, microbiology and treatment, and only limited information is currently available about changes in clinical presentation and psychosocial aspects. For instance, symptoms seem to improve during the third and fourth decades of life, a period sometimes referred to as the “honeymoon phase”. However, adolescents with bronchiectasis have poorer quality of life than healthy peers, suggesting, therefore, potential disease underestimation at this age.

This scarcity of data most likely hinders the design of appropriate evidence-based transition protocols, ultimately limiting our ability to understand the factors driving disease progression and how to prevent it.

Nowadays it is crucial to raise awareness about this neglected aspect of bronchiectasis care, and fill this cultural and scientific gap by joining forces between pediatricians and adult physicians, to understand and stop disease progression and, lastly, to provide the best possible care to our patients in all phases of their lives.

Keywords:
Bronchiectasis
Adolescence
Transition
Paediatric
Children

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