COERCIVE CARE For decades, physicians have steered sickle cell patients toward sterilization BY ERIC BOODMAN

https://www.statnews.com/coercive-care-sickle-cell-disease/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_ueMwan2CelyNGRV0l1SsUPdEZL3YdPXPt5bOiNMhB0DjR22UjK-feqO_cJiHcqAup9O3MkKSX5-YHj6AQMrqfNeUjWg&_hsmi=309321752&utm_content=309321752&utm_source=hs_email Fifty years ago, sickle cell disease mostly affected children, as STAT’s Eric Boodman reports in his Coercive Care series, since those who had it often didn’t survive into adulthood. Life expectancy has continued to rise, but with older age also comes increased risks, making the transition from pediatric to adult care a particularly important period. A study published yesterday in Blood Advances found that when the transition takes longer than six months, patients are twice as likely to be hospitalized compared to those who transition within two months. Researchers looked at long-term data for more than 350 sickle cell patients from St. Jude Children’s Research Hospital in Memphis who transitioned to adult care at partner facilities. Most had their first adult appointment about a month and a half after their last pediatric one. But across the country, many patients face gaps in insurance coverage, discomfort with change, and potential bias from institutions or clinicians. The researchers hope to continue studying and improving transitions at other facilities, they wrote. Facing a broken mental health system, many U.S. teens fall off a dangerous ‘cliff’ in their care Megan Thielking By Megan Thielking https://www.statnews.com/2020/06/17/cliff-teens-mental-health-transition-adulthood/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--dfvsWcJ5ZUyypq2Awa5Rpw9XXa9Dp2KUXiJygHNOmFeLml-aGg0x1HPrHCP1ruKd20Xk4vFzuJVUhzLDKpTU7K6Wg9g&_hsmi=309321752&utm_content=309321752&utm_source=hs_email Gaps during Pediatric to Adult Care Transfer Escalate Acute Resource Utilization in Sickle Cell Disease https://ashpublications.org/bloodadvances/article/doi/10.1182/bloodadvances.2023011268/516194/Gaps-during-Pediatric-to-Adult-Care-Transfer?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9-AnR1iSEbtNG1J82OuiW9Mf75_wyMs5qqDM6k-qcXkIrVPH1qU0NfyVNhq7HsWI5uAAHNirEr4oXsR6L5pshiAWULfQ&_hsmi=309321752&utm_content=309321752&utm_source=hs_email