Age at Transition from Pediatric to Adult Care Has No Relationship with Mortality for Childhood-Onset Type 1 Diabetes in Japan: Diabetes Epidemiology Research International (DERI) Mortality Study
| العنوان: | Age at Transition from Pediatric to Adult Care Has No Relationship with Mortality for Childhood-Onset Type 1 Diabetes in Japan: Diabetes Epidemiology Research International (DERI) Mortality Study |
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| المؤلفون: | Yoshiko Onda, Aya Morimoto, Rimei Nishimura, Kazunori Utsunomiya, Naoko Tajima, Hironari Sano |
| المصدر: | PLoS ONE PLoS ONE, Vol 11, Iss 3, p e0150720 (2016) |
| بيانات النشر: | Public Library of Science, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Pediatrics, Medical Doctors, Health Care Providers, lcsh:Medicine, Adult care, Geographical Locations, 0302 clinical medicine, Endocrinology, Japan, Surveys and Questionnaires, Epidemiology, Medicine and Health Sciences, Public and Occupational Health, Longitudinal Studies, lcsh:Science, Multidisciplinary, Child Health, Age Factors, Middle Aged, Prognosis, 3. Good health, Professions, Type 1 Diabetes, Pediatric care, Research Article, Adult, medicine.medical_specialty, Prognostic factor, Transition to Adult Care, Asia, Adolescent, Endocrine Disorders, 030209 endocrinology & metabolism, Child health, 03 medical and health sciences, Diagnostic Medicine, 030225 pediatrics, Diabetes mellitus, Physicians, medicine, Diabetes Mellitus, Adults, Humans, Survival analysis, Type 1 diabetes, business.industry, lcsh:R, medicine.disease, Survival Analysis, Health Care, Diabetes Mellitus, Type 1, Age Groups, Metabolic Disorders, People and Places, lcsh:Q, Population Groupings, business |
| الوصف: | Objective To follow up Japanese patients with type 1 diabetes for a maximum of 40 years to examine when they transitioned from pediatric care to adult care and to explore whether the attending physician, i.e., pediatrician or internist, was associated with prognosis. Methods Participants consisted of 1,299 patients who had been diagnosed as having type 1 diabetes at less than 15 years old between 1965 and 1979 identified through two nationwide surveys. Patients were classified as having received either pediatric care or adult care at the age of 15 and 30, and were compared for differences in mortality associated with the attending physician. Results The attending physicians were confirmed for a total of 1,093 patients at the age of 15. Of these patients, 43.8% and 40.3% received pediatric care and adult care, respectively. Of the 569 patients receiving pediatric care, 74.2%, 56.6%, 53.4%, and 51.3% continued with pediatric care at 20, 30, 40, and 50 years old, respectively. The attending physicians (pediatrician or internist) at the age of 15 and 30 had no significant impact on their survival (P = 0. 892, 0.411, respectively). Conclusions More than half of the patients who had received pediatric care at the age of 15 continued to receive pediatric care even after the age of 30, suggesting that their transition was far from smooth, while the attending physician at the age of both 15 and 30 was not a prognostic factor for mortality. Thus, the timing for transition to adult care in these patients has no relationship with mortality in Japan. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::105b110c5817347ddaf7c8b5729c0175Test http://europepmc.org/articles/PMC4777500Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....105b110c5817347ddaf7c8b5729c0175 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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