The Outcome of Ongoing Adult Endocrine Engagement Following Transition From Paediatric Care
Authors' conclusion
Our clinic model for transitioning from paediatric to adult endocrine care is effective in introducing and retaining patients to the adult service with only a 9% drop out rate. Factors associated with poor attendance in adult services include deprivation and being male. Additional support may be required for these individuals to improve engagement in adult services.
Study context
- Population
- Patients seen by paediatric endocrinology at the Royal Hospital for Children, Glasgow, at transition to adult services, 2012–2022; T1D excluded248 with discharge status
- Participants
- 267 participants
- Outcome
- Engagement with adult endocrine service: clinic attendance and dropout rate
Methodological detailsservice evaluation, single-centre, tertiary hospital
- Service evaluation
- Single-centre
- Tertiary hospital
Main finding
As reported in the abstract
Remained engaged with adult service
91%
172/190
Observational data: associations, not effects.
Further findings
Male vs Female
Dropout rate by sex · higher dropout in males
P < 0.05
More deprived vs More affluent
Dropout rate by deprivation · higher dropout in more deprived areas
P < 0.05
Discharge status
- Remained in same tertiary centre
- 52% (n = 129)
- Transferred to other endocrine centres in West of Scotland
- 29% (n = 61)
- Discharged to primary care
- 17% (n = 42)
Original publication
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