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1. Please list your last name and zip code:
2. What is your specialty?
3. How many patients with IBD do you see each week?
4. What type of difficulties can the adolescent/young adult have after transfer from pediatric to adult care?
5. Your patient is a 17-year-old female diagnosed at age 8 with pancolitis and perianal disease that was initially treated with steroids and methotrexate. She has had needle phobia since age 9, and was diagnosed with an anxiety disorder following panic attacks at age 14. Also at age 14, growth failure and active small bowel disease were noted. She was started on IFX in combination with MTX, and has been in deep remission since. Which part of this history should be most concerning in regards to potential difficulty transitioning to adult care?
6. Ideally, when should transition from pediatric to adult care for IBD begin?