The age of paediatrics

Susan M. Sawyer, Robyn McNeil, Kate L. Francis, Juliet Z. Matskarofski, George C. Patton, Zulfiqar A. Bhutta, Dorothy O. Esangbedo, Jonathan D. Klein

Research output: Contribution to journalReview articlepeer-review

40 Citations (Scopus)

Abstract

The epidemiological transition towards non-communicable diseases is characterised by an upward shift in age of disease burden across the lifecourse. One response, within a suite of wider actions, would be to extend the upper age limit of paediatric practice to embrace adolescent health. We did an online survey to explore the upper age limit of paediatric care, obtaining responses from 1372 paediatricians in 115 countries. Marked variation in the upper age limit was apparent. Among high-income countries, a higher upper age limit was associated with greater disease burden in adolescents relative to young children (<5 years). Although paediatricians reported the mean upper age limit of paediatrics had risen over the past 20 years, the mean preferred age of 18·7 (SD 2·6) years was higher than the mean current age of 17·4 (SD 2·5) years (p<0·0001). Paediatricians reported the main reasons for the rising age over time was their greater awareness of adolescent health and leadership by professional associations. Reports of the quality of adolescent health education within national paediatric training suggest that this education is largely inadequate. A greater focus on adolescent health is required within paediatrics to ensure that the future paediatric workforce is appropriately equipped to respond to the changing disease burden across childhood and adolescence.

Original languageEnglish
Pages (from-to)822-830
Number of pages9
JournalThe Lancet Child and Adolescent Health
Volume3
Issue number11
DOIs
Publication statusPublished - Nov 2019

Fingerprint

Dive into the research topics of 'The age of paediatrics'. Together they form a unique fingerprint.

Cite this