Published online November 30, 2007
PEDIATRICS Vol. 120 No. 6 December 2007, pp. e1536-e1539 (doi:10.1542/peds.2007-0493)
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Right arrow Adolescent Medicine

EXPERIENCE & REASON

Successful Use of a Primary Care Practice–Specialty Collaboration in the Care of an Adolescent With Chronic Fatigue Syndrome

Dennis Z. Kuo, MD, MHSa, Tina L. Cheng, MD, MPHb and Peter C. Rowe, MDb

a Maple Avenue Pediatrics, Fair Lawn, New Jersey
b Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

ABSTRACT

We report on the successful collaborative care of an adolescent with chronic fatigue syndrome between a primary care pediatrician and an academic chronic fatigue syndrome specialist located in different cities. Regular telephone and e-mail communication and clearly defined patient-care roles allowed for timely management of symptoms and marked clinical improvement. We discuss ways to improve the collaboration of primary care and subspecialty physicians for patients with chronic fatigue syndrome and children with special health care needs.

Key Words: chronic fatigue syndrome • primary health care • disabled children • patient-care team • referral and consultation

Abbreviations: CSHCN, children with special health care needs • PCP, primary care physician • CFS, chronic fatigue syndrome

Accepted May 17, 2007.