Paediatric‐to‐adult transition in type 1 diabetes: A two‐centre experience of a structured program, 2014 to 2022
Authors' conclusion
With a gradual coordinated transition process, most T1D patients attended adult care follow-up visits. Younger age at diagnosis and worse glycaemic control were associated with lack of adherence to planned adult care follow-up.
Study context
- Population
- Patients with T1D followed 2014–2021 in one paediatric diabetology department, transitioning to one adult diabetology department; at transition median age 19 years, T1D duration 10.5 years, HbA1c 8.4%, 30.6% on CSII
- Participants
- 183 patients
- Exposure
- Patients transitioning to adult care at planned site vs not
- Planned-site adult caren = 137
- Remainingn = 46reference
- Outcome
- Adherence to adult follow-up
- Follow-up
- 2 years after exiting paediatric care
Methodological detailstwo-centre
- Two-centre
Main finding
As reported in the abstract
Transitioned to adult care at planned site
137
Not at planned site
46 of 183
25.1%
Of these, no adult care visits at any site reported
33 of 46
71.7%
Observational data: associations, not effects.
Further findings
- Outcomes in planned-site adult care subgroup · 2 years after exiting paediatric care
- 7.8% · median · IQR 7.0–8.7
- Outcomes in planned-site adult care subgroup: median HbA1c; retinopathy change non-significant
Independent predictors of non-adherence to adult follow-up
- Younger age at T1D diagnosis, aOR
- 0.91 [0.83-0.99]
- Higher pre-transition HbA1c, aOR
- +1.39 [1.11-1.80]
Patient perceptions questionnaire
- Completed questionnaire
- 52 (28.4%)
- Reported being well prepared
- 88.5%
- Neutral or positive impact on diabetes
- 90.5%
Original publication
Paediatric‐to‐adult transition in type 1 diabetes: A two‐centre experience of a structured program, 2014 to 2022. Diabetes Obes Metab. Published 7 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →