دورية أكاديمية
Care delivery and outcomes among Belgian children and adolescents with type 1 diabetes
| العنوان: | Care delivery and outcomes among Belgian children and adolescents with type 1 diabetes |
|---|---|
| المؤلفون: | Doggen, K., Debacker, N., Beckers, Dominique, Casteels, K., Coeckelberghs, M., Dooms, L., Dorchy, H., Lebrethon, M., Logghe, K., Maes, Marc, Massa, G., Mouraux, T., Rooman, R., Thiry-Counson, G., Van Aken, S., Vanbesien, J., Van Casteren, V. |
| المساهمون: | UCL - (MGD) Service de pédiatrie, UCL - SSS/IREC/EDIN - Pôle d'endocrinologie, diabète et nutrition, UCL - (SLuc) Unité d'endocrinologie pédiatrique, UCL - SSS/IREC/PEDI - Pôle de Pédiatrie |
| المصدر: | European Journal of Pediatrics, Vol. 171, no.11, p. 1679-1685 (2012) |
| بيانات النشر: | Springer |
| سنة النشر: | 2012 |
| المجموعة: | DIAL@USL-B (Université Saint-Louis, Bruxelles) |
| مصطلحات موضوعية: | Diabetes care, Diabetes complications, HbA1c, Quality improvement |
| الوصف: | We aimed to investigate care processes and outcomes among children and adolescents with type 1 diabetes treated in hospital-based multidisciplinary paediatric diabetes centres. Our retrospective cross-sectional study among 12 Belgian centres included data from 974 patients with type 1 diabetes, aged 0-18 years. Questionnaires were used to collect data on demographic and clinical characteristics, as well as process of care completion and outcomes of care in 2008. Most patients lived with both biological or adoption parents (77 %) and had at least one parent of Belgian origin (78 %). Nearly all patients (≥95 %) underwent determination of HbA1c and BMI. Screening for retinopathy (55 %) and microalbuminuria (73 %) was less frequent, but rates increased with age and diabetes duration. Median HbA1c was 61 mmol/mol (7.7 %) [interquartile range 54- 68 mmol/mol (7.1-8.4 %)] and increased with age and insulin dose. HbA1c was higher among patients on insulin pump therapy. Median HbA1c significantly differed between centres [from 56 mmol/mol (7.3 %) to 66 mmol/mol (8.2 %)]. Incidence of severe hypoglycaemia was 30 per 100 patient-years. Admissions for ketoacidosis had a rate of 3.2 per 100 patient-years. Patients not living with both biological or adoption parents had higher HbA1c and more admissions for ketoacidosis. Parents' country of origin was not associated with processes and outcomes of care. Conclusion: Outcomes of care ranked well compared to other European countries, while complication screening rates were intermediate. The observed centre variation in HbA1c remained unexplained. Outcomes were associated with family structure, highlighting the continuing need for strategies to cope with this emerging challenge. © Springer-Verlag 2012. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0340-6199 1432-1076 |
| العلاقة: | boreal:125022; http://hdl.handle.net/2078.1/125022Test; urn:ISSN:0340-6199; urn:EISSN:1432-1076 |
| DOI: | 10.1007/s00431-012-1809-2 |
| الإتاحة: | https://doi.org/10.1007/s00431-012-1809-2Test http://hdl.handle.net/2078.1/125022Test |
| حقوق: | info:eu-repo/semantics/restrictedAccess |
| رقم الانضمام: | edsbas.588EB84C |
| قاعدة البيانات: | BASE |
| تدمد: | 03406199 14321076 |
|---|---|
| DOI: | 10.1007/s00431-012-1809-2 |