Type 1 diabetes

Diabetes-Related Quality of Life Assessment in Children following Total Pancreatectomy with Islet Autotransplantation

Pediatr DiabetesPublished Cohort study with historical comparison cohort

Authors' conclusion

In youth who underwent TPIAT, DR-QOL worsened over the first two years, mostly attributable to the diabetes symptoms score. Compared to children with T1D, post-TPIAT DR-QOL was similar two years after diabetes onset.

Study context

Population
Youth (<20 years old) who underwent total pancreatectomy with islet autotransplantation (TPIAT) for acute recurrent or chronic pancreatitisTPIAT youth
Participants
46 participants
Exposure
Youth post-TPIAT vs youth with new-onset T1D
  • TPIATn = 46
Outcome
Diabetes-related quality of life (PedsQL™ 3.2 Diabetes Module scores)
Methodological detailsdemographically similar (age and sex)
  • Demographically similar (age and sex)

Main finding

As reported in the abstract

PedsQL™ DM scores over time post-TPIAT · first 24 months post-TPIAT
Diabetes symptoms summary score decreased (worsened), mean 65 to 57; met MCID threshold
p=0.03
Total score decreased (worsened), mean 74 to 68; met MCID threshold
p < 0.05

Observational data: associations, not effects.

Further findings

OutcomeP value
PedsQL™ DM scores, TPIAT vs T1D · 24 monthsNot significantly differentall p > 0.2
  • PedsQL™ DM scores, TPIAT vs T1D: TPIAT n = 29 at 12 months, n = 16 at 24 months; T1D n = 52 at 12 months, n = 58 at 24 months

Original publication

Diabetes-Related Quality of Life Assessment in Children following Total Pancreatectomy with Islet Autotransplantation. Pediatr Diabetes. Published 22 June 2023. doi:10.1155/2023/2851620

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