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Care continuity prevents increased health care utilization and mortality during transition from pediatric to adult care. Our program employs a co‐located care delivery model, in which pediatric provider involvement continues during young adulthood. We tested the hypothesis that individuals who participated in the co‐located model have greater retention in adult care compared to those who only received pediatric transition services.

This study consisted of 311 youth with SCD (51.4% male; 63.0% HbSS/HbSβ⁰‐thalassemia) who transferred to adult care from 2007 to 2017. Retention was defined as continuation with an adult provider for ≥12 or ≥24 months post‐pediatric care. Logistic regression estimated the association between co‐location status and retention at 12 and 24 months. Logistic regression and t‐tests were used to evaluate potential predictors of retention in adult care …